Individual
SAMANTHA MARIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
714 S STATE ST, OREM, UT 84058-6366
(877) 375-3469
Mailing address
714 S STATE ST, OREM, UT 84058-6366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13813202-3102
UT
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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