| NPI | 1992535835 |
|---|---|
| Doing Business As | MANGO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | HAILEY JUN President 703-963-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-15 |