AMY DIANE CARRILLO

ODESSA, TX
NPI1366082075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  Ap144543)
Enumeration Date2020-01-10
Last Update Date2021-08-24
Business Address
Mrs. AMY DIANE CARRILLO
912 E 5TH ST
ODESSA, TX 79761-4605
Phone number: 432-334-8845
Mailing Address
Mrs. AMY DIANE CARRILLO
10555 W HACIENDA DR
ODESSA, TX 79763-7208
Phone number: 432-770-2107