Individual provider · Type 1 NPI

Richard M. Mangongo, SOCIAL WORK INTERN

Student in an Organized Health Care Education/Training Program · Jbsa Fort Sam Houston, TX

NPI number 1316599574 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Call (210) 539-6150 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316599574

Richard M. Mangongo, SOCIAL WORK INTERN's National Provider Identifier is 1316599574, issued on Jul 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Jul 9, 2019.