NPI 1821341512

Ronald Mangelsdorf, CSB

Practitioner Religious Nonmedical Practitioner Palmer, AK

Practice location

Address: 12189 E Fence Line Dr, Palmer, AK 99645-8119
Phone: (907) 746-3236
Mailing address: PO Box 4426, Palmer, AK 99645-4426

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Alaska →

Registry record

NPI: 1821341512
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2012
Record last updated: 18 Oct 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.