Individual
MS. JAZMIN CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 N KIMBERLY DR, SILVER CITY, NM 88061-7168
(575) 519-0089
Mailing address
2329 N KIMBERLY DR, SILVER CITY, NM 88061-7168
(575) 519-0089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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