MAMIE MANDELA, NURSE PRACTITIONER

Nurse Practitioner - Primary Care

Active Individual
NPI: 1831661370

Practice Address

1413 E 218TH ST
Carson, CA 90745

Phone: (310) 702-5392

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 95010871 (CA)
Nurse Practitioner - Primary Care 363LP2300X Yes 95010871 (CA)

Frequently Asked Questions

NPI 1831661370 is the National Provider Identifier for MAMIE MANDELA, NURSE PRACTITIONER, a Nurse Practitioner - Primary Care provider located in Carson, CA. This NPI was enumerated on December 21, 2018.
MAMIE MANDELA, NURSE PRACTITIONER practices at 1413 E 218TH ST, Carson, CA 90745.

Quick Facts

NPI
1831661370
Type
Individual
Enumerated
Dec 21, 2018
Last Updated
Jun 14, 2019

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