Individual
JESSICA MANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 433-1150
Mailing address
510 17TH ST, OAKLAND, CA 94612-1553
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95024172
CA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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