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Lucia Carrillo

NPI 1679231757 · on the registry since 2021

Practice

Address
286 School St
Willits, CA 95490
Phone
(707) 456-9020
Fax
(707) 456-9020
Organisation at this address
Manzanita Services, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-10

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