Individual
MRS. MANDI LISETTE BATTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 WEST COAST ROAD, REDWAY, CA 95560
(707) 923-2783
(707) 923-2543
Mailing address
P.O. BOX 769, 101 WEST COAST ROAD, REDWAY, CA 95560
(707) 923-2783
(707) 923-2543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 20367
CA
Other
Enumeration date
07/08/2009
Last updated
11/04/2015
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