ANDREA MANDEVILLE

Contractor

Active Individual
NPI: 1376745349

Practice Address

2160 FORT HARRODS DR
# 22
Lexington, KY 40513

Phone: (765) 404-2875

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1376745349 is the National Provider Identifier for ANDREA MANDEVILLE, a Contractor provider located in Lexington, KY. This NPI was enumerated on June 1, 2007.
ANDREA MANDEVILLE practices at 2160 FORT HARRODS DR, # 22, Lexington, KY 40513.

Quick Facts

NPI
1376745349
Type
Individual
Enumerated
Jun 1, 2007
Last Updated
Mar 4, 2008

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