Individual
ANTHONY ROBERT MANCUSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4682 DRUSILLA DR, BATON ROUGE, LA 70809-6947
(225) 603-6620
Mailing address
4682 DRUSILLA DR, BATON ROUGE, LA 70809-6947
(225) 603-6620
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN080691
LA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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