Individual
GINA LEE MAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-7182
Mailing address
8391 CASTILIAN DR, HUNTINGTON BEACH, CA 92646-6109
(714) 745-5764
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
152028
CA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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