Individual
KAYLEIGH MANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(360) 258-2101
Mailing address
1638 SE CRYSTAL LAKE DR APT C, CORVALLIS, OR 97333-1271
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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