Individual
SIMONETTE MANDAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11895 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128-3423
(858) 673-0101
Mailing address
7792 ACAMA ST, SAN DIEGO, CA 92126-1037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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