Individual
KAYLA MARIE MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 N DYSART RD STE 148, LITCHFIELD PARK, AZ 85340-3062
(623) 547-4739
(623) 536-2154
Mailing address
701 E CALLE ADOBE LN, GOODYEAR, AZ 85338-1027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001304
ATHLETIC TRAINER
AZ
Enumeration date
07/18/2019
Last updated
11/27/2023
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