Tania M. Mantua O.D.

NPI 1053337097 - Optometrist - 152W00000X

NPI Details
NPI 1053337097
Gender Female
Enumeration Date 07/14/2006
Last Updated 04/30/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
7075 REDWOOD BLVD STE F
NOVATO CA, 94945-4136, US
Phone (415) 897-2997
Fax (415) 898-3626
Business Location
7075 REDWOOD BLVD STE F
NOVATO CA, 94945-4136, US
Phone (415) 897-2997
Fax (415) 898-3626
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 9487T
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According to our database, Dr. Tania M. Mantua O.D. NPI is 1053337097, taxonomy code is 152W00000X and license number is 9487T, license state is located at California. Tania M. Mantua O.D. physically located at 7075 Redwood Blvd Ste F, Novato CA, 94945-4136. NPI Number Tania M. Mantua O.D. has the Individual type.

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1053337097 NPI number is provided on an as is basis without warranty of any kind. 1053337097 is maintained by the National Plan & Provider Enumeration System. The contents of Tania M. Mantua O.D. are for informational purposes only.