Individual
EMILY MANGIARACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
310 W. 112TH, CROWN POINT, IN 46307
(219) 763-8112
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004152A
IN
Other
Enumeration date
05/23/2017
Last updated
07/11/2024
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