Penelope Mantilla, SA-C

NPI #1215526165 in Medley, Florida

Provider Information

NPI Number
1215526165
Entity Type
Individual
Name
Penelope Mantilla, SA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
SA-C
Enumeration Date
Jan 14, 2021
Last Updated
Jan 14, 2021

Practice Location

Address
10500 NW 74TH ST APT 2-102
City
Medley
State
Florida
ZIP Code
33178-2400
Phone
(312) 672-2209

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant
Physician Assistant - SurgicalSurgical

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