Andrea Mandeville

NPI #1376745349 in Lexington, Kentucky

Provider Information

NPI Number
1376745349
Entity Type
Individual
Name
Andrea Mandeville
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jun 1, 2007
Last Updated
Mar 4, 2008

Practice Location

Address
2160 FORT HARRODS DR
Address 2
# 22
ZIP Code
40513-1052
Phone
(765) 404-2875

Specialties & Taxonomy Codes

Specialty
Contractor

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