Individual
ALEXIS RICARDO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 ELKHORN BLVD, NORTH HIGHLANDS, CA 95660-3503
(916) 367-2291
Mailing address
4110 ELKHORN BLVD, NORTH HIGHLANDS, CA 95660-3503
(916) 367-2291
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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