Organization
MANTECA UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE THIBODEAU RN FNP MHS/PHC (DIRECTOR)
(209) 858-0788
Entity
Organization
Contact information
Practice address
2271 W LOUISE AVE, MANTECA, CA 95337-8381
(209) 858-0788
Mailing address
PO BOX 32, MANTECA, CA 95336-0032
(209) 858-0788
(209) 858-7513
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SS3068593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS3068593
—
CA
Enumeration date
02/02/2007
Last updated
05/29/2012
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