Individual
KAYLA MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
(602) 865-5930
Mailing address
26455 N 164TH DR, SURPRISE, AZ 85387-6873
(217) 653-5292
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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