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Individual

ALICIA CARRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21520 PIONEER BLVD STE 110, HAWAIIAN GARDENS, CA 90716-2604
(562) 246-5700
Mailing address
12527 PARAMOUNT BLVD APT B8, DOWNEY, CA 90242-3733
(562) 991-8905

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary

Other

Enumeration date
02/17/2020
Last updated
05/30/2023
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