Individual
MICHAEL R MANTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16152 BEACH BLVD STE 279, HUNTINGTON BEACH, CA 92647-3825
(714) 509-1880
(424) 222-8882
Mailing address
16152 BEACH BLVD STE 279, HUNTINGTON BEACH, CA 92647-3825
(714) 509-1880
(424) 222-8882
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
304700305
CA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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