Individual
JACOB CARRILLO-HAYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
6061 FATHER CARUSO DRIVE, APT 3409, CLEVELAND, OH 44102
(647) 542-8230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57.255354
OH
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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