Individual
DANIELLE ESCOTO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-7406
(760) 499-9259
Mailing address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-7406
(760) 499-9259
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
10/03/2023
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