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Individual
MS. GWEN MANCUSO
Active
Individual
MS. GWEN MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
812190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
HOMEMAKER CARE
CA
Enumeration date
03/16/2006
Last updated
07/13/2026
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