Individual
LESLIE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 FAWN LAKE DR, NEWPORT NEWS, VA 23608-1397
(757) 814-7294
Mailing address
703 FAWN LAKE DR, NEWPORT NEWS, VA 23608-1397
(757) 814-7294
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401169253
VA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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