Individual
MS. AMANDA NICOLE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2111
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 208-8528
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86044848
CA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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