Individual
LAURA PATRICIA MANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6711 ARLINGTON AVE STE B, RIVERSIDE, CA 92504-1966
(951) 352-4964
(951) 352-4965
Mailing address
6711 ARLINGTON AVE STE B, RIVERSIDE, CA 92504-1966
(951) 352-4964
(951) 352-4965
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
11/14/2023
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