Individual
DR. ASHLEY MANDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 407-1642
Mailing address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 407-1642
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1780099739
OH
Other
Enumeration date
06/29/2014
Last updated
07/21/2022
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