Individual
MRS. DONNAMARIE LILLIAN MANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3934
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171694
VA
Other
Enumeration date
08/08/2014
Last updated
09/23/2024
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