Hanna Katrina Mandl
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1467217612
StatusActive
Last updated in NPPESJun 16, 2024
Details
- NPI
- 1467217612
- Entity type
- Individual (NPI-1)
- Name
- Hanna Katrina Mandl
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2024
- Certification date
- Jun 16, 2024
- Last updated
- Jun 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2621
Phone 617-726-3030
Mailing address
55 Fruit StGrb 444
Boston, MA 02114
Phone 617-726-6890
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