NATHALIE MANTILLA FARFAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140788

License Status

ACTIVE

Business

First Name

NATHALIE

Last Name

MANTILLA FARFAN

Suffix

Business Name

NATHALIE MANTILLA FARFAN MD

Original Issue Date

05/31/2016

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

EVANS

State

Zip

30809

Ever Disciplined

LastModifiedDate

02/27/2026