MRS. Elizabeth Mangual

NPI #1467722199 in Bernalillo, New Mexico

Provider Information

NPI Number
1467722199
Entity Type
Individual
Name
MRS. Elizabeth Mangual
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 11, 2012
Last Updated
Jan 11, 2012

Practice Location

Address
255A S CAMINO DEL PUEBLO
ZIP Code
87004-5973
Phone
(505) 867-2356

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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