Individual
EMMA KRISTINE MANDOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 E JOLLY RD, LANSING, MI 48910-8542
(517) 997-8181
Mailing address
3400 E JOLLY RD, LANSING, MI 48910-8542
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704362447
MI
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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