Individual
ABIGAIL CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 204-1360
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/07/2020
Last updated
11/26/2024
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