Individual
ANGELITA SALONGA MANGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
95 CAYUGA AVE, SOUTH SETAUKET, NY 11720-1149
(631) 751-5886
Mailing address
95 CAYUGA AVE, SOUTH SETAUKET, NY 11720-1149
(631) 751-5886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
531550
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531550
—
NY
Enumeration date
09/17/2010
Last updated
09/17/2010
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