Individual
AJA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
420 JAMES RIVER RD, GULF BREEZE, FL 32561-4867
(831) 309-2101
(877) 215-7951
Mailing address
310 A ST APT 1807, SAN DIEGO, CA 92101-4314
(850) 481-3114
(877) 215-7951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
32410
CA
235Z00000X
Speech-Language Pathologist
Primary
SA10343
FL
Other
Enumeration date
06/24/2009
Last updated
07/19/2022
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