Individual
PROCULA MANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 HILLCREST CT, LOMBARD, IL 60148-4423
(630) 261-1558
Mailing address
1506 HILLCREST CT, LOMBARD, IL 60148-4423
(630) 261-1558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.270882
IL
163W00000X
Registered Nurse
Primary
701854
CA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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