Individual
MANDI LEI MENGEDOHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S 27TH ST, BILLINGS, MT 59101-4508
(406) 259-8000
Mailing address
534 GRAND AVE, BILLINGS, MT 59101-5905
(402) 909-2564
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
352268
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5151174
—
MT
Enumeration date
12/18/2016
Last updated
12/18/2016
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