Individual
DR. BONITA B MANDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
17007 E COLONY DR, SUITE 104, FOUNTAIN HILLS, AZ 85268-4672
(480) 837-3188
(480) 836-9009
Mailing address
17007 E COLONY DR, SUITE 104, FOUNTAIN HILLS, AZ 85268-4672
(480) 837-3188
(480) 836-9009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7281
AZ
Other
Enumeration date
03/05/2007
Last updated
04/30/2008
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