Individual
DIANA MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-6009
Mailing address
7325 QUIVIRA RD APT 1252, SHAWNEE, KS 66216-3622
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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