Individual
PATRICIA ANN CIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 LAKE ST, FORT WORTH, TX 76102-4581
(817) 810-0660
Mailing address
1314 LAKE ST STE 101, FORT WORTH, TX 76102-4582
(817) 810-0660
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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