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Maria Nelly Gangat Manimbo
Non-emergency Medical Transport (VAN) in Anaheim, California
NPI 1417085754

Maria Nelly Gangat Manimbo is a Non-emergency Medical Transport (VAN) based in Anaheim, CA. Maria Nelly Gangat Manimbo practices in Anaheim, CA. The NPI Number for Maria Nelly Gangat Manimbo is 1417085754 and holds a License No. MTN01213F (California).

The current practice location address for Maria Nelly Gangat Manimbo is 700 S Plymouth Pl, Anaheim, CA and can be reached out via phone at 714-457-1085.

Location: 700 S Plymouth Pl, Anaheim, CA, 92806-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417085754
Provider Name
Maria Nelly Gangat Manimbo
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 S Plymouth Pl, Anaheim, CA, 92806-4116
Phone Number
714-457-1085
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN01213F 05 CA
institution
Provider Business Practice Location Address Details
Address
700 S Plymouth Pl
City
Anaheim
State
California
Zip
92806-4531
Phone Number
714-457-1085
Fax Number
person
Provider Business Mailing Address Details
Address
700 S Plymouth Pl
City
Anaheim
State
California
Zip
92806-4531
Phone Number
714-457-1085
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
MTN01213F (California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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