Individual
GRISELDA SOLEDAD CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 E SHAW AVE STE 100, FRESNO, CA 93710-7616
(559) 439-5437
(559) 439-5411
Mailing address
7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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