Individual
BRANDY R CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 CARMEN LN, SANTA MARIA, CA 93458-7729
(805) 332-4568
Mailing address
5001 JEFFERSON LN APT 215, CARMICHAEL, CA 95608-4968
(559) 790-0743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53300
CA
Other
Enumeration date
08/23/2016
Last updated
02/02/2023
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