Robert J Mancino

NPI 1124110762 - Radiologic Technologist - 2471C3402X

NPI Details
NPI 1124110762
Gender Male
Enumeration Date 09/29/2006
Last Updated 12/13/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
CLEARLAKE CA, 95422-8188, US
Phone (707) 994-4965
Fax (707) 994-4965
Business Location
PO BOX 236
CLEARLAKE CA, 95422-0236, US
Phone (707) 994-4965
Fax (707) 994-4965
Taxonomy Code 2471C3402X
License State California
License Number RHT19556
Remove 1124110762 NPI Number

According to our database, Robert J Mancino NPI is 1124110762, taxonomy code is 2471C3402X and license number is RHT19556, license state is located at California. Robert J Mancino physically located at 14810 Cresta Ave, Clearlake CA, 95422-8188. NPI Number Robert J Mancino has the Individual type.

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1124110762 NPI number is provided on an as is basis without warranty of any kind. 1124110762 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Mancino are for informational purposes only.