Individual
CHRISTOPHER OMAR CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
5168 N BLYTHE AVE STE 101, FRESNO, CA 93722-6477
(559) 248-8550
Mailing address
5168 N BLYTHE AVE STE 101, FRESNO, CA 93722-6477
(559) 248-8550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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