Individual
MRS. JUDITH LORAIN MANGIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMP
Contact information
Practice address
107 FIGUEROA ST, VENTURA, CA 93001-2756
(805) 415-7502
(805) 641-3887
Mailing address
340 S CATALINA ST, VENTURA, CA 93001-3629
(805) 415-7502
(805) 641-3887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13360
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
10/12/2018
Last updated
10/12/2018
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