Individual
RUTH ERNITA MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 12TH ST NW, WASHINGTON, DC 20009-4404
(202) 341-9958
Mailing address
6390 GREENFIELD LN, NASHVILLE, NC 27856-8408
(202) 341-9958
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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