Natasha Victoria Rodriguez Mancebo, PA-C

NPI #1588201115 in Peoria, Illinois

Provider Information

NPI Number: 1588201115
Entity Type: Individual
Name: Natasha Victoria Rodriguez Mancebo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 2, 2019
Last Updated: Dec 2, 2019

Practice Location

Address: 711 W JOHN GWYNN AVE
City: Peoria
State: Illinois
ZIP Code: 61605-2270
Phone: (309) 680-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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