MR. RODOLFO MANANSALA

INDEPENDENT DUTY HM specializing in military health care provider in Antioch, Illinois

NPI: 1184809048

Provider Type

1

Practice Locations

Mailing Location

950 ELFERING LN

ANTIOCH, IL 60002

📞 8476883412

Practice Location

601 D ST BLDG 130-H

GREAT LAKES, IL 60088

📞 8476883412

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:1/9/2008
Last Updated:8/27/2009

Credentials

Primary Credential:INDEPENDENT DUTY HM
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MR. RODOLFO MANANSALA - Military Health Care Provider in Antioch, Illinois