Mandap, Michelle
Mandap, Michelle is an individual health care provider with primary practice located at 1724 E Washington Blvd , Pasadena CA 91104-2751. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mandap, Michelle can be contacted via phone (626) 794-1161.Contact Information
Primary practice address
1724 E Washington Blvd
Pasadena CA 91104-2751
Phone: (626) 794-1161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | VN193118 | California |
Profile Details
| NPI number | 1912048059 |
|---|---|
| LBN Legal business name | Mandap, Michelle |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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