Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY CARRILLO
Active Sole ProprietorMARY CARRILLO is a Community Health Worker healthcare provider located in GRAND TERRACE, California. NPI 1477925790 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1477925790
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2015 (10.78446713846 yrs)
- Last Updated
- Oct 26, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
12264 REED AVEGRAND TERRACE, CA, 923135432Browse CA providers · Browse ZIP 92313
- Phone
- 9514521364
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in GRAND TERRACE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. SYLVESTER LEE WALLACE JR. | — | 1427827625 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.