Individual
BRYANNA MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD, MPH
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
Mailing address
1601 TRINITY ST STOP A, AUSTIN, TX 78712-1766
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD61155824
WA
207RR0500X
Rheumatology Physician
U4260
TX
Other
Enumeration date
04/14/2018
Last updated
08/21/2025
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