Individual
MANDY KERSTEN HAYUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2777 JEFFERSON DAVIS HWY, STAFFORD, VA 22554-8323
(540) 318-8615
(540) 318-8619
Mailing address
PO BOX 1872, STAFFORD, VA 22555-1872
(540) 318-8615
(540) 318-8619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603614
VA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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