IndividualActive
Jonatan Lopez Mancilla
NPI 1053973685 · Social Worker · Ephraim, UT
Provider details
- NPI number
- 1053973685
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
390 W 100 N
Ephraim, UT 84627-2131
Phone: (435) 283-4065
Fax: (435) 462-8407
Mailing address
152 N 400 W
Ephraim, UT 84627-5549
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.