Individual
JENNA MANDZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
20508 SW ROY ROGERS RD STE 145, SHERWOOD, OR 97140-9931
(971) 340-0073
Mailing address
20845 SW EDY RD, SHERWOOD, OR 97140-8616
(971) 340-0073
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC165564
OR
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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