Individual provider · Type 1 NPI
Jzaquise Mangram, RN
Administrator Registered Nurse · Riverside, CA
NPI number
1982460978
Active
Practice location
1422 Haddington Dr
Riverside, CA 92507-8422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 812297 (CA) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Riverside
About NPI 1982460978
Jzaquise Mangram, RN's National Provider Identifier is 1982460978, issued on Feb 27, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Riverside, CA. The record was last updated on Feb 27, 2024.