Individual
MADALENE MANDAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 DIPLOMACY DR, SUITE 1203, ANCHORAGE, AK 99508-5925
(907) 729-4199
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-4199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67403
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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