Individual
DR. JOSEPH MAYIMBA MANGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-CE
Contact information
Practice address
3020 S UNION AVE, TACOMA, WA 98409-3317
(253) 844-4327
Mailing address
22415 16TH AVE S, DES MOINES, WA 98198-6458
(206) 786-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDCE.ML.61500140
WA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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