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Individual

MEGHAN LOUISE MANANGON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
196 CLINTON AVE APT D34, BROOKLYN, NY 11205-3417
(631) 332-3713
Mailing address
1820 S SARTAIN ST, PHILADELPHIA, PA 19148-2114

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
135846
NY
163WM0102X
Maternal Newborn Registered Nurse
706711
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405697
NY

Other

Enumeration date
04/20/2020
Last updated
06/10/2024
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