Individual
EDDIELYN MANGLALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3701 J ST, SUITE # 201, SACRAMENTO, CA 95816-5562
(916) 454-2345
(916) 457-2667
Mailing address
3701 J ST, SUITE # 201, SACRAMENTO, CA 95816-5562
(916) 454-2345
(916) 457-2667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 17965
CA
Other
Enumeration date
07/29/2008
Last updated
01/03/2022
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