Mary Carrillo
Technician, Attendant Care Provider in Albuquerque, NM. Individual provider (NPI-1).
NPI number1962014522
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1962014522
- Entity type
- Individual (NPI-1)
- Name
- Mary Carrillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
435 Bluethorn Ct SwAlbuquerque, NM 87121-9331
Phone 505-440-3144
Mailing address
435 Bluethorn Ct SwAlbuquerque, NM 87121-9331
Phone 505-440-3144
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All 93 Attendant Care Provider providers in Albuquerque · All 29,333 providers in Albuquerque
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