Individual
MS. ANA MARISELA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 746-1037
Mailing address
938 N BENTON WAY, LOS ANGELES, CA 90026-3826
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
876
CA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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