MARIA NELLY GANGAT MANIMBO

ANAHEIM, CA
NPI1417085754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: CA  MTN01213F)
Enumeration Date2007-02-28
Last Update Date2007-07-09
Business Address
-- MARIA NELLY GANGAT MANIMBO
700 S PLYMOUTH PL
ANAHEIM, CA 92806-4531
Phone number: 714-457-1085
Mailing Address
-- MARIA NELLY GANGAT MANIMBO
211 S STATE COLLEGE BLVD # 418
ANAHEIM, CA 92806-4116
Phone number: 714-457-1085
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