MANKAA VIFANSI

WAUKEGAN, IL
NPI1104662121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.029951)
Enumeration Date2024-07-09
Last Update Date2025-05-13
Business Address
MANKAA VIFANSI
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8950
Mailing Address
MANKAA VIFANSI
10505 CORPORATE DR STE 105G
PLEASANT PRAIRIE, WI 53158-1605
Phone number: 224-523-7883
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