Individual
MANDOLIN DEBORAH HOFFMAN-MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 PROFESSIONAL PLACE, BRIDGEPORT, WV 26330
(681) 342-3660
(681) 342-3598
Mailing address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01125
WV
Other
Enumeration date
01/26/2006
Last updated
03/12/2024
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