Individual
QUINCY ANN MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 AVENUE H, ELY, NV 89301-2615
(775) 289-3001
Mailing address
1500 AVENUE H, ELY, NV 89301-2615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63163
NV
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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