Selma C Mangrum is a Clinical in San Mateo, California. Selma C Mangrum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Selma C Mangrum is 1003933904. The last update date is 2007-07-08.
Selma C Mangrum's current location address is 222 Paul Scannell Dr, San Mateo, California. You can contact this provider via phone number 6503125234 and fax number 6503125305. The mailing address for Selma C Mangrum is 222 Paul Scannell Dr, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Selma C Mangrum |
|---|---|
| Address | 222 Paul Scannell Dr, San Mateo, California |
| Phone Number | 6503125234 |
| Fax Number | 6503125305 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1003933904 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 222 Paul Scannell Dr |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 94402 |
| Phone Number | 6503125234 |
| Fax Number | 6503125305 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15263 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Selma C Mangrum by the Centers for Medicare & Medicaid Services?
The Selma C Mangrum has been assigned the NPI (National Provider Identifier) 1003933904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Selma C Mangrum is located?
The Selma C Mangrum is situated at the following address: 222 Paul Scannell Dr, San Mateo, CA, 94402.
What is Selma C Mangrum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Selma C Mangrum is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Selma C Mangrum receive its 1003933904 assignment from the Centers for Medicare & Medicaid Services?
The Selma C Mangrum was assigned its 1003933904 by the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details pertaining to Selma C Mangrum last refreshed?
The information related to the Selma C Mangrum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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