| Mansilla Medical Practice, Pc | |
|
360 Brown's Hill Ct. Midlothian VA 23114 | |
| (804) 379-3100 | |
| (804) 379-3200 |
| Full Name | Mansilla Medical Practice, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Brown's Hill Ct., Midlothian, Virginia |
| Authorized Official Name and Position | Olivia Ana Karolin Mansilla (PRESIDENT) |
| Authorized Official Contact | 8043793100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansilla Medical Practice, Pc 360 Brown's Hill Ct. Midlothian VA 23114 Ph: (804) 379-3100 | Mansilla Medical Practice, Pc 360 Brown's Hill Ct. Midlothian VA 23114 Ph: (804) 379-3100 |
| NPI Number | 1316143860 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316143860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101229981 (Virginia) | Primary |
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