Individual
ADRIANA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
584 E BELLEVUE RD, ATWATER, CA 95301-2300
(559) 747-2177
Mailing address
584 E BELLEVUE RD, ATWATER, CA 95301-2300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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