SearchCalifornia152W00000X

Amanda Mancilla

NPI 1619567948 · on the registry since 2021 · sole proprietor

Practice

Address
15330 Amar Rd
La Puente, CA 91744
Phone
(626) 961-0432
Organisation at this address
Edward P. & Diane M. Hernandez
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California