Individual
EMILY CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S 8TH ST STE 2L, PHILADELPHIA, PA 19106-4017
(215) 560-8409
Mailing address
18086 WHISLER DR, BROWNSTOWN, MI 48173-8640
(734) 778-0973
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN717487
PA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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