Individual
SANDY MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
(951) 358-4834
Mailing address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-UJGKVA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPSS-UJGKVA
—
CA
Enumeration date
06/06/2011
Last updated
07/12/2023
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