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“Adult Companion” (Mammoth Lakes, CA)

Location: Mammoth Lakes, CA
Taxonomy: Adult Companion.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1093640427 — AMANDA FENN GREENBERG
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1740
1225985898 — SHANE HENNES
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1753
1760278741 — CESAR OMAR MEDINA RUIZ
Practice Location Address:
PO BOX 2619
MAMMOTH LAKES CA
93546-2619
Practice Phone: 702-289-1628

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