STEPHANIE C MANGUAL LEON

SALEM, OR
NPI1801585385
Other NameSTEPHANIE LEON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10014644)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AZ  231604)
Enumeration Date2023-05-02
Last Update Date2024-04-15
Business Address
STEPHANIE C MANGUAL LEON
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 787-298-7480
Mailing Address
STEPHANIE C MANGUAL LEON
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 503-576-8400