Individual
MRS. SARAH ANN MANDUJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3623 CAROLINA AVE, KINGMAN, AZ 86401-4985
(909) 549-0801
Mailing address
3623 CAROLINA AVE, KINGMAN, AZ 86401-4985
(909) 549-0801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009524
AZ
2255A2300X
Athletic Trainer
—
CA
Other
Enumeration date
06/08/2017
Last updated
08/06/2024
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