Individual
MAVIS MANTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 PLACERVILLE RD STE 120, FOLSOM, CA 95630-6319
(916) 235-9740
Mailing address
1101 BRICKELL AVE STE N1700, MIAMI, FL 33131-3105
(916) 983-2942
(916) 983-6054
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2179
CA
Other
Enumeration date
03/27/2007
Last updated
05/08/2018
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