MS. GWEN MANCUSO NPI 1477522043

NPI Information

MS. Gwen Mancuso is a contractor in Alameda, CA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MS. Gwen Mancuso NPI is 1477522043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

304 TIDEWAY DR
ALAMEDA, CA
ZIP 94501-511
Phone: (510) 375-6234

The enumeration date for this NPI number is 3/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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