Individual
CHARNELE MARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QDDP
Contact information
Practice address
150 RIVERSIDE PKWY STE 115, FREDERICKSBURG, VA 22406-1094
(540) 530-5545
Mailing address
150 RIVERSIDE PKWY STE 115, FREDERICKSBURG, VA 22406-1094
(540) 530-5545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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