Individual
ANGEL MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N MARKET BLVD, STE 350, SACRAMENTO, CA 95834-1200
(916) 283-8280
Mailing address
1795 WATERFALL DR, MARYSVILLE, CA 95901-8263
(916) 676-5344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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