Individual
CHERILYN CARRILLO CABANERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
57 GERMANTOWN CT STE 100, CORDOVA, TN 38018-4274
(901) 435-8550
(901) 478-0781
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5532
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2023
Last updated
01/10/2024
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