KEITH CARRILLO

COMPTON, CA
NPI1265098784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95011765)
Enumeration Date2019-05-10
Last Update Date2021-06-30
Business Address
KEITH CARRILLO NP
920 N LONG BEACH BLVD # 2259
COMPTON, CA 90221-2260
Phone number: 323-732-0100
Mailing Address
KEITH CARRILLO NP
920 N LONG BEACH BLVD # 2259
COMPTON, CA 90221-2260
Phone number: 323-732-0100
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