Individual
SAMANTHA MANGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCRN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
10908 57TH AVENUE CT E APT C301, PUYALLUP, WA 98373-5719
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
L1-0037424
DE
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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