Individual
MANDALIN STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 274-0444
Mailing address
20 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 274-0444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27061616A
IN
Other
Enumeration date
11/15/2023
Last updated
11/16/2023
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