Jacqueline Rose Mancillas

NPI #1225902430 in Fort Hood, Texas

Provider Information

NPI Number: 1225902430
Entity Type: Individual
Name: Jacqueline Rose Mancillas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 1, 2025
Last Updated: Oct 1, 2025

Practice Location

Address: 36065 SANTA FE AVE
City: Fort Hood
State: Texas
ZIP Code: 76544-5060
Phone: (254) 288-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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