Individual
YESENIA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
440 N CAMINO MERCADO STE 2, CASA GRANDE, AZ 85122-5750
(520) 424-7390
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292352
AZ
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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