Search › California › 171M00000X
Jennifer Mangum
NPI 1790008142 · on the registry since 2010
Practice
- Address
- 1161 3rd Ave
Chula Vista, CA 91911 - Phone
- (877) 637-6237
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-11
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 California