Mandi R Nisenbaum

NPI #1811263692 in Nome, Alaska

Provider Information

NPI Number: 1811263692
Entity Type: Individual
Name: Mandi R Nisenbaum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 306 WEST 5TH AVE
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (907) 443-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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