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Individual

JAYTOYA CHENELLE MANGET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-BC, FNP-BC

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(410) 782-1893
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(410) 782-1893

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R188701
MD
163W00000X
Registered Nurse
RN1023331
DC
363LF0000X
Family Nurse Practitioner
R188701
MD
363LF0000X
Family Nurse Practitioner
Primary
RN1023331
DC

Other

Enumeration date
01/31/2010
Last updated
01/20/2015
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