Individual
ALYSSA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5121 STOCKDALE HWY STE 275, BAKERSFIELD, CA 93309-2667
(661) 868-5000
(661) 836-8834
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6600
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
799349
CA
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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