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Antoinette Mangum

Case Manager/Care Coordinator in North Hills, CA. Individual provider (NPI-1).

NPI number1124543293
StatusActive
Last updated in NPPESSep 22, 2017

Details

NPI
1124543293
Entity type
Individual (NPI-1)
Name
Antoinette Mangum
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2017
Last updated
Sep 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

15305 Rayen St
North Hills, CA 91343-5117

Phone 818-892-3423

Mailing address

15305 Rayen St
North Hills, CA 91343-5117

Phone 818-892-3423

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