Individual
SHAWNEE ROSE MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
214 W WACKERLY ST STE 100, MIDLAND, MI 48640-2795
(989) 837-5998
(989) 835-9632
Mailing address
214 W WACKERLY ST, STE 100, MIDLAND, MI 48640-2795
(989) 837-5998
(989) 835-9632
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010648
MI
Other
Enumeration date
03/15/2018
Last updated
03/28/2018
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