Individual
CARA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
408 ROSE BLOSSOM LOOP, LA VERNIA, TX 78121-4765
(210) 598-3497
Mailing address
408 ROSE BLOSSOM LOOP, LA VERNIA, TX 78121-4765
(210) 598-3497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127400
TX
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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