Mandy L Gwaltney
NPI #1720461817 in Manistique, Michigan
Provider Information
- NPI Number
- 1720461817
- Entity Type
- Individual
- Name
- Mandy L Gwaltney
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chore Provider
- Enumeration Date
- Jul 7, 2015
- Last Updated
- Jul 7, 2015
Practice Location
- Address
- 7540W BROWN RD
- City
- Manistique
- State
- Michigan
- ZIP Code
- 49854-9555
- Phone
- (906) 341-5975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chore Provider |
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Organizations
| Provider Name | |
|---|---|
| Community Opportunity Center | |
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