Individual
ALICIA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 S 22ND PL UNIT B, MOUNT VERNON, WA 98274-4782
(360) 630-1017
Mailing address
826 S 22ND PL UNIT B, MOUNT VERNON, WA 98274-4782
(360) 630-1017
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55849
WA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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