Individual
MR. MARIO MANDUJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1142 W GUADALUPE RD, MESA, AZ 85210-7602
(480) 345-7367
(480) 345-6197
Mailing address
1142 W GUADALUPE RD, MESA, AZ 85210-7602
(480) 345-7367
(480) 345-6197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AZ12567
AZ
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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