Individual
MR. MICHAEL MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55818 29 PALMS HWY, YUCCA VALLEY, CA 92284-2596
(760) 660-9115
(760) 418-5618
Mailing address
55818 29 PALMS HWY, YUCCA VALLEY, CA 92284-2596
(760) 660-9115
(760) 418-5618
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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