Elizabeth Mangual

NPI 1467722199 · on the registry since 2012 · sole proprietor

Practice

Address: 255a S Camino Del Pueblo
Bernalillo, NM 87004
Phone: (505) 867-2356
Fax: (505) 867-2357
Organisation at this address: Pb&J Family Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 252Y00000X
252Y00000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-11

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 New Mexico