NPI 1912623877
Stephan Mangeac
Practice location
- Address
- 918 W Greenhurst Rd, Nampa, ID 83686-2918
- Phone
- (208) 412-9263
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1912623877
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Oct 2022
- Record last updated
- 12 Oct 2022
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.