LEON SAMUEL MANCILLA

SAN DIEGO, CA
NPI1376140590
Former NameLEON SAMUEL LOEB-MANCILLA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-10-01
Last Update Date2020-10-01
Business Address
LEON SAMUEL MANCILLA
5555 RESERVOIR DR
SAN DIEGO, CA 92120-5134
Phone number: 619-822-1800
Mailing Address
LEON SAMUEL MANCILLA
5555 RESERVOIR DR
SAN DIEGO, CA 92120-5134
Phone number: 619-822-1800
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