Carrillo, Marissa

Carrillo, Marissa is an individual health care provider with primary practice located at 1125 E Spruce Ave Ste 207 , Fresno CA 93720-3390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carrillo, Marissa can be contacted via phone (559) 435-7546.

Contact Information

Primary practice address
1125 E Spruce Ave Ste 207 Fresno CA 93720-3390
Phone: (559) 435-7546
Fax: (559) 435-4976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0PA163411 California

Profile Details

NPI number 1538148929
LBN Legal business name Carrillo, Marissa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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