Individual
LAURA MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 ROLLING MEADOWS DR, VERMILION, OH 44089-3423
(440) 320-4113
Mailing address
1401 ROLLING MEADOWS DR, VERMILION, OH 44089-3423
(440) 320-4113
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/17/2020
Last updated
11/18/2020
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