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Penelope Mantilla, SA-C
NPI 1215526165 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10500 Nw 74th St Apt 2-102
Medley, FL 33178 - Phone
- (312) 672-2209
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Surgical Assistant
- Sex
- Female
- Record last updated
- 2021-01-14
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida