Individual
MS. JENNIFER MICHELLE MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
11410 NE 122ND WAY, KIRKLAND, WA 98034-6945
(425) 650-4005
(425) 215-4846
Mailing address
26 BARBARA LN, CAMANO ISLAND, WA 98282-6327
(206) 734-9879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00141090
WA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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