Individual
RALPH MANGUSAN
Active
Individual
RALPH MANGUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
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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