Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sally M Mandichak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124547930

Sally M Mandichak is a Student in an Organized Health Care Education/Training Program in Reno, Nevada. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

740 California Ave
Reno, NV 89509
Phone: (775) 233-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101267386 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124547930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2017
Last updated in NPPESDecember 4, 2023
Certification dateDecember 1, 2023
Mailing address200 Mercy Circle Oceanside, Oceanside, CA 92055

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