KAVISHA NAYOMALY CARRILLO

SAN RAFAEL, 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 Date2023-11-11
Business Address
KAVISHA NAYOMALY CARRILLO PA
50 ACACIA AVE
SAN RAFAEL, CA 94901-2230
Phone number: 415-457-4440
Mailing Address
KAVISHA NAYOMALY CARRILLO PA
4402 N EASTBURY AVE
COVINA, CA 91722-3216
Phone number: 626-205-8215
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