Individual
DR. JACQUELINE L MANDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
238 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1046
(413) 529-9300
(866) 644-0870
Mailing address
238 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1046
(413) 529-9300
(866) 644-0870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4814
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089671A
—
MA
Enumeration date
07/11/2011
Last updated
03/12/2024
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