LANCE MANDERNACK

LOS ANGELES, CA
NPI1760651772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2865M2000X Military Hospital, Military General Acute Care Hospital
Enumeration Date2008-02-22
Last Update Date2008-02-22
Business Address
-- LANCE MANDERNACK BS, RTT
3371 GLENDALE BLVD #186
LOS ANGELES, CA 90039-1825
Phone number: 323-666-5364
Mailing Address
-- LANCE MANDERNACK BS, RTT
3371 GLENDALE BLVD #186
LOS ANGELES, CA 90039-1825
Phone number: 323-666-5364
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