Individual
GABRIELLA M CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 E 13TH ST, MONAHANS, TX 79756-2129
(432) 661-1131
Mailing address
1712 E 13TH ST, MONAHANS, TX 79756-2129
(432) 661-1131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326639
TX
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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