Individual
MANGALISO ROSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3909 S CREEK CT, STONE MOUNTAIN, GA 30083-7005
(510) 467-8485
Mailing address
3909 S CREEK CT, STONE MOUNTAIN, GA 30083-7005
(510) 467-8485
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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