Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. GWEN MANCUSO
ActiveMS. GWEN MANCUSO is a Contractor healthcare provider located in ALAMEDA, California. NPI 1477522043 is currently active in the NPPES registry. Verify at CMS.
Contractor · ALAMEDA, CA
Registration Details
- NPI Number
- 1477522043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2006 (20.43734912508 yrs)
- Last Updated
- Jul 8, 2007
- License
-
812190 (CA)
Practice Information
- Address
-
304 TIDEWAY DRALAMEDA, CA, 945013511Browse CA providers · Browse ZIP 94501
- Phone
- 5103756234
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in ALAMEDA, CA
| Name | Credential | NPI |
|---|---|---|
| PETER LOSEV | C. PED | 1033166905 |
| LINDA EARNEST | — | 1093893133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.