Individual
ARCELIA PATRICIA MANCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 W LACEY BLVD, HANFORD, CA 93230-5901
(559) 582-9234
Mailing address
145 N N ST, TULARE, CA 93274-4249
(559) 687-8713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639557655
—
CA
Enumeration date
07/13/2021
Last updated
05/01/2026
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