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Individual

RIZA MANANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
815 EASTERN BLVD, BALTIMORE, MD 21221-3535
(410) 642-9172
(877) 635-7186
Mailing address
4535 RIDGE RD, BALTIMORE, MD 21236-3825
(443) 559-2892

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R200557
MD

Other

Enumeration date
05/21/2022
Last updated
05/21/2022
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