Individual
MANNIX KALALA KABANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
16816 116TH AVENUE CT E, PUYALLUP, WA 98374-9119
(206) 510-7233
Mailing address
16816 116TH AVENUE CT E, PUYALLUP, WA 98374-9119
(206) 510-7233
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-131
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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