Individual
ANGEL KAHIHIKOLO MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7854
Mailing address
1146 THOMPSON CIR, FORT EUSTIS, VA 23604-1407
(913) 237-1393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-14151
AL
Other
Enumeration date
02/27/2006
Last updated
07/28/2014
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