Individual
MRS. EMILY MANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2017 FIRST AVE, SUITE 301, SAN DIEGO, CA 92101
(619) 881-4577
(619) 231-1031
Mailing address
1075 CAMINO DEL RIO SOUTH, SAN DIEGO, CA 92108
(619) 881-4500
(619) 231-1031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52131
CA
Other
Enumeration date
11/01/2014
Last updated
11/21/2016
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