Individual
CRISTINA LEIGH MANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-2826
Mailing address
7450 S. EASTERN AVE, UNIT #1084, LAS VEGAS, NV 89123
(702) 506-4595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15573
OR
Other
Enumeration date
05/14/2009
Last updated
01/29/2019
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