Individual
DEANDRA MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
Mailing address
1523 VISTA DEL LAGO BLVD, DUNDEE, FL 33838-4429
(954) 770-1217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0046
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2020
Last updated
09/24/2025
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