Individual
MIRANDA MANGAHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2485 SUNRISE BLVD STE A, GOLD RIVER, CA 95670-4344
(916) 642-1867
Mailing address
601 ORE CART CT, EL DORADO HILLS, CA 95762-6614
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95040720
CA
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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