Individual
CAMILLE MANGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5240 N PALM AVE STE 103, FRESNO, CA 93704-2233
(559) 268-1737
Mailing address
6975 E GARLAND AVE, FRESNO, CA 93727-0905
(708) 262-2395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95038953
CA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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