Individual
MR. PASCAL DOMINIQUE MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 N 15TH AVE, 111, PHOENIX, AZ 85007-1201
(602) 264-4770
(602) 264-4771
Mailing address
PO BOX 32, MORENO VALLEY, CA 92556-0032
(602) 264-4770
(602) 264-4771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07681098
AZ
Other
Enumeration date
07/25/2006
Last updated
07/09/2007
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