Individual provider · NPI-1

Sarah Mae Manalo Bangalan

Registered Nurse, General Practice · San Antonio, TX

NPI number1609409457
StatusActive
Last updated in NPPESFeb 20, 2020

Details

NPI
1609409457
Entity type
Individual (NPI-1)
Name
Mrs. Sarah Mae Manalo Bangalan
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2020
Certification date
Feb 20, 2020
Last updated
Feb 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice971414TXYes

Practice location

7710 W Ih 10
San Antonio, TX 78230-4711

Phone 210-377-3355

Mailing address

7710 W Ih 10
San Antonio, TX 78230-4711

Phone 210-335-7710

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