Individual
JESSIE T MANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
481 BANTAM RD, LITCHFIELD, CT 06759-3202
(860) 567-1263
Mailing address
1290 SILAS DEANE HWY STE 102, WETHERSFIELD, CT 06109-4337
(860) 972-6977
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CT
Other
Enumeration date
01/07/2019
Last updated
09/15/2022
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