MAHANTIE THOMAS

SAN DIEGO, CA
NPI1962708180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  211262)
Enumeration Date2011-02-04
Last Update Date2015-06-15
Business Address
-- MAHANTIE THOMAS LVN
2851 MEADOW LARK DR
SAN DIEGO, CA 92123-2709
Phone number: 858-571-1964
Mailing Address
-- MAHANTIE THOMAS LVN
483 DENNERY RD APT 78
SAN DIEGO, CA 92154-8533
Phone number: 858-397-3137
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