Individual
DAVID E CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
936 1/2 E 55TH ST, LOS ANGELES, CA 90011-5352
(323) 891-0990
Mailing address
936 1/2 E 55TH ST, LOS ANGELES, CA 90011-5352
(323) 891-0990
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
710485
CA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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