Individual
MS. EVAN KHRISTINE MANGUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5169 S COTTONWOOD ST STE 420, MURRAY, UT 84107-6769
(801) 507-1625
Mailing address
2139 E BEECHWOOD AVE, FRESNO, CA 93720-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13171808-1206
UT
363A00000X
Physician Assistant
—
CA
Other
Enumeration date
12/16/2019
Last updated
06/22/2023
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