Individual
DANIEL MANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 EMPIRE RD STE 200, LAFAYETTE, CO 80026-2677
(303) 578-7050
Mailing address
9372 WILMINGTON CT, HIGHLANDS RANCH, CO 80130-3747
(434) 249-4245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005005
CO
Other
Enumeration date
05/28/2017
Last updated
05/28/2017
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