Individual
ARIA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101
Mailing address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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