Lisette Carrillo
Lisette Carrillo is a Specialist in Oakland, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6333 Telegraph AveOakland, CA 94609-1359
Phone: (510) 923-1099
Fax: (510) 923-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1376143040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 30, 2020 |
| Last updated in NPPES | October 30, 2020 |
| Certification date | October 30, 2020 |
| Mailing address | 6333 Telegraph Ave, Oakland, CA 94609-1359 |
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Chontae Burks
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