MS. KIMBERLY MANCILLA, SA-C
Specialist/Technologist, Other - Surgical Assistant
Active
Individual
NPI: 1588966840
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other - Surgical Assistant | 246ZC0007X | Yes | - |
Frequently Asked Questions
NPI 1588966840 is the National Provider Identifier for MS. KIMBERLY MANCILLA, SA-C, a Specialist/Technologist, Other - Surgical Assistant provider located in Normal, IL. This NPI was enumerated on November 18, 2010.
MS. KIMBERLY MANCILLA, SA-C practices at 1604 VISA DR, SUITE 1, Normal, IL 61761.
Quick Facts
- NPI
- 1588966840
- Type
- Individual
- Enumerated
- Nov 18, 2010
- Last Updated
- Jul 29, 2020
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