Individual
DR. AUDRA KRYSTELL MENDELSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, 60MDG/SGOC, TRAVIS AFB, CA 94535-1809
(206) 553-9317
Mailing address
101 BODIN CIR, 60MDG/SGOC, TRAVIS AFB, CA 94535-1809
(206) 553-9317
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01071564A
IN
Other
Enumeration date
03/31/2011
Last updated
02/10/2014
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