Individual
REBECCA A MANGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4900
Mailing address
7573 AKINS RD, NORTH ROYALTON, OH 44133-4809
(330) 523-6231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN430791
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN430791
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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