Mangante, Kim M

Mangante, Kim M is an individual health care provider with primary practice located at 904 Mellus St , Martinez CA 94553-1745. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mangante, Kim M can be contacted via phone (925) 229-0230.

Contact Information

Primary practice address
904 Mellus St Martinez CA 94553-1745
Phone: (925) 229-0230
Fax: (925) 229-0233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1548463011
LBN Legal business name Mangante, Kim M
Credentials RAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
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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