Individual
JAIME CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6054
(206) 215-6027
Mailing address
3901 MONTGOMERY BLVD NE APT 306, ALBUQUERQUE, NM 87109-1086
(832) 410-5507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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