SearchNevada101YA0400X

Christian Carrillo, 07786-C

NPI 1578129060 · on the registry since 2019

Practice

Address
1536 N Boulder Hwy # 89011
Henderson, NV 89011
Phone
(725) 696-9673
Fax
(702) 558-8700

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
171M00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada