Mancuso, Gwen

Mancuso, Gwen is an individual health care provider with primary practice located at 304 Tideway Dr , Alameda CA 94501-3511. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mancuso, Gwen can be contacted via phone (510) 375-6234.

Contact Information

Primary practice address
304 Tideway Dr Alameda CA 94501-3511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 812190 California

Profile Details

NPI number 1477522043
LBN Legal business name Mancuso, Gwen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477522043 NPPES
California Other 17 HOMEMAKER CARE

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