Individual
MRS. ANGELA J MANDERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
4320 DIPLOMACY DR., ANCHORAGE, AK 99508
(907) 729-1500
(907) 729-1508
Mailing address
4315 DIPLOMACY DR, ANC-DIA, ANCHORAGE, AK 99508
(907) 729-1128
(907) 729-1129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
AK133
AK
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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