PETER ERNEST CARRILLO

VAN NUYS, CA
NPI1023637139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2020-04-09
Last Update Date2020-09-02
Business Address
PETER ERNEST CARRILLO
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 323-854-3130
Mailing Address
PETER ERNEST CARRILLO
15339 SATICOY ST
VAN NUYS, CA 91406
Phone number: 818-267-2600