Justin Mandeville, PA-C

NPI #1073019550 in Yelm, Washington

Provider Information

NPI Number: 1073019550
Entity Type: Individual
Name: Justin Mandeville, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 3, 2018
Last Updated: Jul 25, 2023

Practice Location

Address: 9391 PRARRIE WIND ST
City: Yelm
State: Washington
ZIP Code: 98597
Phone: (517) 667-8729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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