Individual
MS. ELBA VIRGINIA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 SOUTHWEST FWY, STE 101 PMB 736978, HOUSTON, TX 77098-4520
(832) 623-8644
Mailing address
3120 SOUTHWEST FWY, STE 101 PMB 736978, HOUSTON, TX 77098-4520
(832) 623-8644
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/26/2024
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