Individual
MANDY MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CANTERBURY CIR, DOWNINGTOWN, PA 19335-1880
(484) 885-4519
Mailing address
21 CANTERBURY CIR, DOWNINGTOWN, PA 19335-1880
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OP001764L
PA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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