Individual
MANUEL MANDAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 HIDDEN PINES CIR, MERIDEN, CT 06451-2212
(203) 599-8207
Mailing address
25 HIDDEN PINES CIR, MERIDEN, CT 06451-2212
(203) 599-8207
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7432
CT
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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