SearchWashington171R00000X

Alicia Carrillo

NPI 1871197582 · on the registry since 2020 · sole proprietor

Practice

Address
826 S 22nd Pl Unit B
Mount Vernon, WA 98274
Phone
(360) 630-1017

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-23

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 Washington