Mancuso, Mary Jane Relampagos
Mancuso, Mary Jane Relampagos is an sole proprietor health care provider with primary practice located at 1113 Alta Ave Suite #110, Upland CA 91786-2800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mancuso, Mary Jane Relampagos can be contacted via phone (626) 922-8060.Contact Information
Primary practice address
1113 Alta Ave Suite #110
Upland CA 91786-2800
Phone: (626) 922-8060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 545344 | California |
Profile Details
| NPI number | 1295922045 |
|---|---|
| LBN Legal business name | Mancuso, Mary Jane Relampagos |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Oct 23rd, 2021 - about 3 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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