Individual
ANGELA JOHANNA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
281 W 24TH STREET, SUITE 147, YUMA, AZ 85364
(928) 366-4205
(928) 276-4605
Mailing address
281 W 24TH ST STE 147, YUMA, AZ 85364-8587
(928) 366-4205
(928) 276-4605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13175
AZ
Other
Enumeration date
03/18/2016
Last updated
12/31/2016
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