Individual
RICARDO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 N BARTLETT AVE, LAREDO, TX 78041-3803
(956) 523-7850
Mailing address
4602 N BARTLETT AVE, LAREDO, TX 78041-3803
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
651505
TX
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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