Individual
GLADYS MANGABAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2715 G ST, SACRAMENTO, CA 95816-3719
(916) 447-1502
Mailing address
2715 G ST, SACRAMENTO, CA 95816-3719
(916) 447-1502
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
340308207
CA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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