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Individual

KRISTEN ANN MANDICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
41 JACKSON VALLEY RD, WASHINGTON, NJ 07882-1037
(908) 892-1952
Mailing address
119 CANAL WAY, HACKETTSTOWN, NJ 07840-1266
(908) 892-1952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
NJ

Other

Enumeration date
03/18/2020
Last updated
03/18/2020
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