Individual
CARLA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
41 ROLLIN AVE, LYNN, MA 01905-1730
(617) 257-1542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2334840
MA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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