Individual
MARIEN MANGROBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 BANBURY ST, AUGUSTA, GA 30906-4242
(706) 267-9650
Mailing address
300 E HOSPITAL RD, FORT GORDON, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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