SearchMaryland225100000X

Joanne Stacey Carillo

NPI 1811169154 · on the registry since 2008 · sole proprietor

Practice

Address
9200 Franklin Square Dr
Rosedale, MD 21237
Phone
(410) 780-2168
Organisation at this address
Graceway Health Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 5980 W 71st St Ste 102, Indianapolis, IN

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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 Maryland