Mancilla, Amanda Michelle

Mancilla, Amanda Michelle is an sole proprietor health care provider with primary practice located at 15330 Amar Rd , La Puente CA 91744-2001. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mancilla, Amanda Michelle can be contacted via phone (626) 961-0432.

Contact Information

Primary practice address
15330 Amar Rd La Puente CA 91744-2001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 34761 California

Profile Details

NPI number 1619567948
LBN Legal business name Mancilla, Amanda Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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