Mangacu, Irene

Mangacu, Irene is an sole proprietor health care provider with primary practice located at 2370 Carson St , Redwood City CA 94061-2008. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Mangacu, Irene can be contacted via phone (805) 302-6412.

Contact Information

Primary practice address
2370 Carson St Redwood City CA 94061-2008
Phone: (805) 302-6412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 697151 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000476 California

Profile Details

NPI number 1891160644
LBN Legal business name Mangacu, Irene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2015
Last updated Jun 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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