SearchCalifornia101YA0400X

Connie Carrillo

NPI 1720487424 · on the registry since 2014 · sole proprietor

Practice

Address
11776 Mariposa Rd
103
Hesperia, CA 92345
Phone
(760) 956-2462
Fax
(760) 956-7542
Organisation at this address
Aegis Treatment Centers, Llc
Aegis Treatment Centers, Llc
Nationwide Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2014-08-19

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 California