Individual
TANYA MANGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11321 W BELL RD STE 43, SURPRISE, AZ 85378-9363
(602) 402-9306
Mailing address
11825 W CAMINO VIVAZ, SUN CITY, AZ 85373-5043
(602) 402-9306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13445
AZ
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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