NPI 1669784302

Tammy Rebecca Mandigo

Practitioner Child Physical Disabilities Respite Care South Hero, VT

Practice location

Address: 38 Whipple Rd, South Hero, VT 05486-4900
Phone: (802) 732-4020
Mailing address: 254 Heath Road Tammy Mandigo, South Hero, VT 05486-4900

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X Licence 025.0008399 (VT)

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Registry record

NPI: 1669784302
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2010
Record last updated: 10 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.