Individual
ALBERTA MANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7671 GRANBY WAY, WEST CHESTER, OH 45069-2365
(513) 295-4372
Mailing address
7671 GRANBY WAY, WEST CHESTER, OH 45069-2365
(513) 295-4372
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN264589
OH
163WH0200X
Home Health Registered Nurse
RN264589
OH
163WR0400X
Rehabilitation Registered Nurse
RN264589
OH
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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