Individual
MADALENE MANDAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3377
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67403
CA
Other
Enumeration date
07/21/2014
Last updated
07/27/2026
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