Most Relevant Information
Provider Data
| NPI Number: | 1003823600 |
| Provider Name: | JENNIFER NICOLE MANGAN DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 4585 |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
13955 W PRESERVE BLVD # 200
BURNSVILLE
MN
553377733
Practice Location Phone/Fax
| Phone: | 9528900804 |
| Fax: | 9528901095 |
Provider Mailing Location
13955 W PRESERVE BLVD # 200
BURNSVILLE
MN
553377733
Provider Mailing Phone/Fax
| Phone: | 9528900804 |
| Fax: | 9528901095 |