KELLY MICHELE MANDA

ENCINO, CA
NPI1134641087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95006929)
Enumeration Date2017-07-12
Last Update Date2017-07-12
Business Address
KELLY MICHELE MANDA FNP
5363 BALBOA BLVD STE 245
ENCINO, CA 91316-2827
Phone number: 818-343-4430
Mailing Address
KELLY MICHELE MANDA FNP
3580 BUFFUM ST
SIMI VALLEY, CA 93063-3216
Phone number: 818-585-5428
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