Individual
MRS. TAMMY REBECCA MANDIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 WHIPPLE RD, SOUTH HERO, VT 05486-4900
(802) 732-4020
Mailing address
254 HEATH ROAD, TAMMY MANDIGO, SOUTH HERO, VT 05486-4900
(802) 730-8095
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
025.0008399
VT
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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