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Mandrell Jack — NPI 1831912450, New Orleans, LA | NPI Central

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Mandrell Jack

NPI 1831912450 · Nurse's Aide · New Orleans, LA

Provider details

NPI number: 1831912450
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Male
Sole proprietor: Yes
License: 300248 (LA)

Practice location

646 S Gayoso St

New Orleans, LA 70119-7249

Phone: (504) 666-2016

More LA providers

Mailing address

646 S Gayoso St

New Orleans, LA 70119-7249

Registry dates

Enumerated: 2024-11-02
Last updated: 2024-11-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.