Individual
MANDY REBECCA MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6179
Mailing address
131 TECHE DR, LAFAYETTE, LA 70503-2537
(504) 250-6263
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.306551
LA
Other
Enumeration date
06/10/2010
Last updated
07/16/2024
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