| NPI | 1225682065 |
|---|---|
| Former Name | GAYLA DENISE MCCLAIN-CARRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA VN253311) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN253311) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-05-14 |