SearchArizona101YM0800X

Dominique Mangano Mack, LAC

NPI 1639925191 · on the registry since 2024

Practice

Address
13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone
(480) 964-2273
Organisation at this address
Adelante Healthcare Inc
Adelante Healthcare, Inc
Adelante Healthcare, Inc.
Adelante Healthcare, Inc.
Adelante Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-01

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 Arizona