Alicia Nicole Mantilla

NPI 1730477233 - Social Worker - 104100000X

NPI Details
NPI 1730477233
Gender Female
Enumeration Date 07/18/2011
Last Updated 07/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
769 W BLAINE ST
SUITE A
RIVERSIDE CA, 92507-3970, US
Phone (951) 358-6895
Fax (951) 358-4792
Business Location
PO BOX 91793
LONG BEACH CA, 90809-1793, US
Phone (626) 347-2215
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Ms. Alicia Nicole Mantilla NPI is 1730477233, taxonomy code is 104100000X Alicia Nicole Mantilla physically located at 769 W Blaine St, Riverside CA, 92507-3970. NPI Number Alicia Nicole Mantilla has the Individual type.

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1730477233 NPI number is provided on an as is basis without warranty of any kind. 1730477233 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Nicole Mantilla are for informational purposes only.