Individual
VICTORINE MANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5152 HERITAGE OAKS CT SW, POWDER SPRINGS, GA 30127-9203
(770) 653-6758
Mailing address
5152 HERITAGE OAKS CT SW, POWDER SPRINGS, GA 30127-9203
(770) 653-6758
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN267911
GA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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