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Individual

SARA LINDSEY MANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, CPNP

Contact information

Practice address
18370 BURBANK BLVD STE 204, TARZANA, CA 91356-2851
(818) 342-0793
Mailing address
18370 BURBANK BLVD STE 204, TARZANA, CA 91356-2851
(818) 342-0793

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
740019
NY
163W00000X
Registered Nurse
95190355
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95012509
CA
363LP0200X
Pediatric Nurse Practitioner
F383013
NY

Other

Enumeration date
07/14/2020
Last updated
07/14/2020
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