TANISHA LAVELLE MANGON

KATY, TX
NPI1770896953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  709892)
Enumeration Date2010-07-16
Last Update Date2018-03-17
Business Address
TANISHA LAVELLE MANGON MSN, NP-C
24275 KATY FWY STE 400
KATY, TX 77494-7267
Phone number: 346-387-7171
Mailing Address
TANISHA LAVELLE MANGON MSN, NP-C
24275 KATY FWY STE 400
KATY, TX 77494-7267
Phone number: 346-387-7171
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