Individual
MRS. ARLENE MARIE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7125 E MONTEREY AVE, MESA, AZ 85209
(480) 641-6413
(480) 854-8871
Mailing address
140 S GILBERT ROAD, GILBERT PUBLIC SCHOOLS MEDICAID SBCP, GILBERT, AZ 85296
(480) 545-3826
(480) 813-5974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 056438
AZ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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