Individual
JUSTINE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 RAILROAD AVE W, CARSON, ND 58529
(701) 861-0525
Mailing address
P.O BOX 84, CARSON, ND 58529
(701) 861-0525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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