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Charisse Ann Mandecote
NPI 1063052348 · on the registry since 2020
Practice
- Address
- 1145 Sibley St
Folsom, CA 95630 - Phone
- (916) 292-8060
- Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California