Search › Utah › Student in an Organized Health Care Education/Training Program
Ethan Mangum
NPI 1134979495 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1172 W Seraphim Ct
Layton, UT 84041 - Phone
- (385) 439-3790
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2024-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah