Carlos Carrillo
Carlos Carrillo is a Durable Medical Equipment & Medical Supplies in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
111 Corte Mesa AveSan Rafael, CA 94901-1303
Phone: (415) 879-2525
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence SRJH102516761 (CA) |
|---|
Record details
| NPI number | 1528449139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2015 |
| Last updated in NPPES | June 10, 2015 |
| Mailing address | 111 Corte Mesa Ave, San Rafael, CA 94901-1303 |
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