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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JZAQUISE MANGRAM, RN

Active Sole Proprietor

JZAQUISE MANGRAM, RN is a Advance Practice Midwife healthcare provider located in RIVERSIDE, California. NPI 1982460978 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · RIVERSIDE, CA

Registration Details

NPI Number
1982460978
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2024 (2.5045258789712 yrs)
Last Updated
Feb 27, 2024
License
812297 (CA)
Sole Proprietor
Yes

Practice Information

Address
1422 HADDINGTON DR
RIVERSIDE, CA, 925078422
Browse CA providers · Browse ZIP 92507
Phone
9513346190
Primary Specialty
Advance Practice Midwife
163WA2000X

Other Advance Practice Midwife Providers in RIVERSIDE, CA

Name Credential NPI
EDWARD GARDNER RN 1174661540
MRS. RENEE MARTIN-THORNTON PH.D, MSN/MBA, RN 1902259914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.