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Individual

JOSEPHINE MANDEYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3246 PRESTON RD STE 620, FRISCO, TX 75034-9077
(972) 430-7477
(512) 782-9316
Mailing address
8300 N LAMAR BLVD STE 200A, AUSTIN, TX 78753-5976
(512) 575-9555
(512) 782-9316

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173561
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133571
TX

Other

Enumeration date
06/21/2016
Last updated
04/20/2023
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