Individual
GERTRUDE KYLIANE MANDENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 106, WASHINGTON, DC 20011-1101
(202) 545-5060
Mailing address
5501 KAREN ELAINE DR APT 1112, NEW CARROLLTON, MD 20784-4116
(615) 881-8043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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