Mandra Jean Vickroy

NPI #1982952461 in Canton, Ohio

Provider Information

NPI Number: 1982952461
Entity Type: Individual
Name: Mandra Jean Vickroy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 4641 FULTON DRIVE NORTH WEST
City: Canton
State: Ohio
ZIP Code: 44718
Phone: (330) 433-6075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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