Individual
MANJULA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CCM
Contact information
Practice address
8879 MUGNAI ST, RIVERVIEW, FL 33578-5097
(813) 686-4725
(770) 723-5277
Mailing address
8879 MUGNAI ST, RIVERVIEW, FL 33578-5097
(813) 686-4725
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN9355459
FL
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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