Individual
FERLYN MABANGLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(626) 254-5000
Mailing address
1760 AQUARIUS ST, LONG BEACH, CA 90810-3217
(562) 607-1697
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40832
CA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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