Individual
RALPH MANGUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10 CENTER DR, BETHESDA, MD 20892-4120
(240) 858-3215
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5008057
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
R259892
MD
Other
Enumeration date
10/02/2015
Last updated
05/08/2024
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