Individual
ALYSSA NICOLE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403-8226
(707) 569-2300
Mailing address
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403-8226
(707) 569-2300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3874
CA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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