Mr. Matthew Manuel Carrillo, OWNER
Mr. Matthew Manuel Carrillo, OWNER is a Prosthetics Case Management in Laurel, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
434 S 13th AveLaurel, MS 39440-4345
Phone: (601) 649-0001
Fax: (601) 649-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence 07014/11.1 (MS) |
|---|
Record details
| NPI number | 1356386288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | November 7, 2007 |