Individual
MRS. DIANE H. MANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-2176
(859) 341-5383
(859) 341-3504
Mailing address
375 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-2176
(859) 341-5383
(859) 341-3504
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1108
KY
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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