NPI 1467722199
Elizabeth Mangual
Practice location
- Address
- 255a S Camino del Pueblo, Bernalillo, NM 87004-5973
- Phone
- (505) 867-2356
- Fax
- (505) 867-2357
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1467722199
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jan 2012
- Record last updated
- 11 Jan 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.