Most Relevant Information
Provider Data
| NPI Number: | 1003204611 |
| Provider Name: | JENNIFER MANCUSO MS, CGC |
| Entity Type: | Individual |
| Taxonomy Code: | 170300000X |
| Specialty: | Genetic Counselor, MS |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/05/2015 |
| Last Updated: | 01/05/2015 |
Provider Practice Location
200 HAWKINS DR
31663 PFP
IOWA CITY
IA
522421009
Practice Location Phone/Fax
| Phone: | 3193847983 |
| Fax: |
Provider Mailing Location
200 HAWKINS DR
31663 PFP
IOWA CITY
IA
522421009
Provider Mailing Phone/Fax
| Phone: | 3193847983 |
| Fax: |