Mandikala Ikota
Mandikala Ikota is a Licensed Vocational Nurse in Newark, Texas. Licensed in Texas. Registered with an NPI since 2019.
- Licensed in
- TX
- In the registry since
- 2019
Practice location Address checks out
146 Cattlemans Creek RdNewark, TX 76071-4327
Phone: (817) 441-3096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 228234 (TX) |
|---|
Record details
| NPI number | 1689212870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 18, 2019 |
| Last updated in NPPES | December 18, 2019 |
| Certification date | December 18, 2019 |
| Mailing address | 146 Cattlemans Creek Rd, Newark, TX 76071-4327 |