Mantilla, Imelda D.
Mantilla, Imelda D. is an sole proprietor health care provider with primary practice located at 777 Bloomfield Ave , Clifton NJ 07012-1242. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mantilla, Imelda D. can be contacted via phone (973) 594-0125.Contact Information
Primary practice address
777 Bloomfield Ave
Clifton NJ 07012-1242
Phone: (973) 594-0125
Fax: (973) 594-0536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | New Jersey |
Profile Details
| NPI number | 1720598204 |
|---|---|
| LBN Legal business name | Mantilla, Imelda D. |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2017 |
| Last updated | Oct 10th, 2017 - about 9 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.
Popular Providers
-
Ceballos, Alina M
1157 Main Ave , Clifton NJ 07011-2243 -
Lara, Kristen M
600 Getty Ave , Clifton NJ 07011-2161 -
Smetak, Frank Edward
57 Lakeview Ave , Clifton NJ 07011 -
Louie, Kem B
252 Silleck St , Clifton NJ 07013-1165 -
Mclaughlin, Nicole
777 Bloomfield Ave , Clifton NJ 07012-1242 -
Burkart, Christina
729 Van Houten Ave Ste 2, Clifton NJ 07013 -
Marturano, Roseann
88 Nugent Dr , Clifton NJ 07012-1716 -
Boyer, Carol Anderson
48 E 7Th St , Clifton NJ 07011-1130