Sally M Mandichak
Sally M Mandichak is a Student in an Organized Health Care Education/Training Program in Reno, Nevada. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Reno, NVNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 0101267386 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1124547930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2017 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 1, 2023 |
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