Damon L Decarrillo, STUDENT
Damon L Decarrillo, STUDENT is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2019
Practice location Address checks out
1201 Wesleyan StFort Worth, TX 76105-1536
Phone: (917) 696-7438
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (TX) |
|---|
Record details
| NPI number | 1215585096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | STUDENT |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | 1201 Wesleyan St, Fort Worth, TX 76105-1536 |
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