Individual
MS. DIANE ELIZABETH CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
38656 MEDICAL CENTER DR STE A, PALMDALE, CA 93551-4695
(661) 940-4444
(661) 940-4446
Mailing address
38656 MEDICAL CENTER DR STE A, PALMDALE, CA 93551-4695
(661) 940-4444
(661) 940-4446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20035
CA
Other
Enumeration date
07/29/2010
Last updated
12/04/2025
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