MR. Jesus Mancilla SR., RSA
NPI #1205965050 in Chicago, Illinois
Provider Information
- NPI Number
- 1205965050
- Entity Type
- Individual
- Name
- MR. Jesus Mancilla SR., RSA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- RSA
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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