Individual
JULIANE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
3609 BECHELLI LN STE E, REDDING, CA 96002-2453
(510) 676-0839
Mailing address
1979 BECHELLI LN, REDDING, CA 96002-0133
(510) 676-0839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71751
CA
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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