Organization
MANGANO CHIROPRACTIC AND WELLNESS CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISHA LYNN MANGANO D.C. (OWNER)
(757) 313-2355
Entity
Organization
Contact information
Practice address
6477 COLLEGE PARK SQ, SUITE 216, VIRGINIA BEACH, VA 23464-3611
(757) 313-2355
(757) 313-2357
Mailing address
6477 COLLEGE PARK SQ, SUITE 216, VIRGINIA BEACH, VA 23464-3611
(757) 313-2355
(757) 313-2357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001485
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259240
ANTHEM BCBS
VA
Enumeration date
12/13/2006
Last updated
08/22/2020
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