Individual
MRS. GABRIELA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4003
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175958
AZ
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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