Individual
MRS. ASHLEY RENEE MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
127 CORAS WAY, WHITE SULPHUR SPRINGS, WV 24986-3086
(304) 667-4632
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29948
WV
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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