Individual
ADELINE RAE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 HACIENDA ST, SAN MATEO, CA 94403-4366
(650) 204-9695
Mailing address
1414 KANSAS ST APT 4, SAN FRANCISCO, CA 94107-3293
(631) 505-7515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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