Carrillo, Mary

Carrillo, Mary is an sole proprietor health care provider with primary practice located at 12264 Reed Ave , Grand Terrace CA 92313-5432. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Carrillo, Mary can be contacted via phone (951) 452-1364.

Contact Information

Primary practice address
12264 Reed Ave Grand Terrace CA 92313-5432
Phone: (951) 452-1364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1477925790
LBN Legal business name Carrillo, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 11 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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