Search › Michigan › 163W00000X
Jessica Mandziara
NPI 1386303196 · on the registry since 2021
Practice
- Address
- 466 Pearson St
Ferndale, MI 48220 - Phone
- (734) 752-3476
Additional practice sites
- 2003 Kootenai Health Way, Coeur D Alene, ID
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 363L00000X
- Licence states on file
- ID, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-24
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 Michigan