KAVISHA NAYOMALY CARRILLO

LOS ANGELES, CA
NPI1144864240
Other NameKAVISHA NAYOMALY ABEYASEKERA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59390)
Enumeration Date2019-10-31
Last Update Date2024-10-27
Business Address
KAVISHA NAYOMALY CARRILLO PA
1510 SAN PABLO ST
LOS ANGELES, CA 90033-5320
Phone number: 626-457-6601
Mailing Address
KAVISHA NAYOMALY CARRILLO PA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-457-6601
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