Individual
TINO MANGWENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 WOBURN DR, YPSILANTI, MI 48198-8460
(410) 504-4876
Mailing address
636 WOBURN DR, YPSILANTI, MI 48198-8460
(410) 504-4876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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