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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477522043 | NPPES |
California | Other | 17 | HOMEMAKER CARE |
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