Individual
DR. JOSE GABRIEL MANTILLA ARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, BOX 357470, SEATTLE, WA 98195-6422
(206) 616-9343
Mailing address
1959 NE PACIFIC ST, BOX 357470, SEATTLE, WA 98195
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60596866
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
05/26/2023
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