| NPI | 1215325147 |
|---|---|
| Other Name | JESSICA MANGIARACINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3528) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: NY 018326) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-02-16 |