Individual
MRS. EUNICE GREGORIO MANGLICMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13019 WAR BONNET ST, SAN DIEGO, CA 92129-2350
(619) 616-1259
Mailing address
13019 WAR BONNET ST, SAN DIEGO, CA 92129-2350
(619) 616-1259
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
95027217
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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