Individual
APRIL MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1871 MARTIN AVE, NMCI MEDICAL CLINIC, INC, SANTA CLARA, CA 95050
(808) 463-9234
(408) 988-8585
Mailing address
1871 MARTIN AVE, NMCI MEDICAL CLINIC, INC, SANTA CLARA, CA 95050
(808) 463-9234
(408) 988-8585
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A14006
CA
208100000X
Physical Medicine & Rehabilitation Physician
34010586
OH
Other
Enumeration date
03/29/2010
Last updated
07/13/2015
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