Individual
DEANNA MANDICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6548 S MCCARRAN BLVD, STE A, RENO, NV 89509-6150
(775) 788-5599
(775) 788-5598
Mailing address
6548 S MCCARRAN BLVD, STE A, RENO, NV 89509-6150
(775) 788-5599
(775) 788-5598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0971
NV
Other
Enumeration date
10/17/2006
Last updated
08/22/2017
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