Individual
RYAN JOSEPH MANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MARINE RAIDER BATTALION, CAMP LEJEUNE, NC 28460
(910) 440-2504
Mailing address
416 HIGH RIDGE CT, SNEADS FERRY, NC 28460-3501
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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