Individual
MICHELLE MANGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
325 E HILLCREST DR, STE. 123, THOUSAND OAKS, CA 91360-5828
(805) 380-6113
Mailing address
1297 ALESSANDRO DR, NEWBURY PARK, CA 91320-3512
(530) 575-0864
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20301
CA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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