Individual
KARLA MANCILLA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 BANNING ST STE 310, DOVER, DE 19904-3488
(302) 747-7486
Mailing address
200 BANNING ST STE 310, DOVER, DE 19904-3488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012434
DE
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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