Individual
CHRISTINA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 E 13TH ST, MERCED, CA 95341-6214
(209) 381-6800
(209) 725-3883
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
(209) 725-3883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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