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Soleima Dallana Mantilla, NP
Gerontology Nurse Practitioner in Mansfield, Texas
NPI 1669183463

Soleima Dallana Mantilla is a Gerontology Nurse Practitioner based in Mansfield, TX and is specialized in Gerontology. Soleima Dallana Mantilla practices in Mansfield, TX and has the professional credentials of NP. The NPI Number for Soleima Dallana Mantilla is 1669183463 and holds a License No. 1093926 (Texas).

The current practice location address for Soleima Dallana Mantilla is 1900 Matlock Rd Ste 804, Mansfield, TX and can be reached out via phone at 682-800-3211.

Location: 1900 Matlock Rd Ste 804, Mansfield, TX, 76063-4455
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Provider Profile Details
NPI Number
1669183463
Provider Name
Soleima Dallana Mantilla
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1900 Matlock Rd Ste 804, Mansfield, TX, 76063-4455
Phone Number
682-800-3211
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45220 01 TX TEXAS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1900 Matlock Rd Ste 804
City
State
Zip
76063-4455
Phone Number
682-800-3211
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Matlock Rd Ste 804
City
State
Zip
76063-4455
Phone Number
682-800-3211
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
1093926 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1093926 (Texas)
Definition
Definition to come...
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