TIA MANDELA

ASHLAND, OH
NPI1184102089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.022940)
Enumeration Date2018-08-02
Last Update Date2018-08-07
Business Address
TIA MANDELA
1016 SUGARBUSH DR
ASHLAND, OH 44805
Phone number: 419-903-0404
Mailing Address
TIA MANDELA
1016 SUGARBUSH DR
ASHLAND, OH 44805-9489
Phone number: