Individual
MISS PRIMA MAY MANGONON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/24/2021
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