Individual provider · Type 1 NPI

Gwen Mancuso

Contractor · Alameda, CA

NPI number 1477522043 Active

Practice location

304 Tideway Dr
Alameda, CA 94501-3511

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X812190 (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1477522043

Gwen Mancuso's National Provider Identifier is 1477522043, issued on Mar 16, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Alameda, CA. The record was last updated on Jul 13, 2026.