Individual
VICKI L MANDLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 LULU AVE, CRIVITZ, WI 54114-1584
(920) 246-0831
Mailing address
W6981 RIVERS BEND LN, PORTERFIELD, WI 54159-9333
(920) 591-1735
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
88831-30
WI
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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