MIGUEL ANTONIO MURILLO

TERRYTOWN, LA
NPI1528312410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-10-31
Last Update Date2012-10-31
Business Address
-- MIGUEL ANTONIO MURILLO IDC
424 BLOSSOM ST
TERRYTOWN, LA 70056-2766
Phone number: 504-418-9993
Mailing Address
-- MIGUEL ANTONIO MURILLO IDC
424 BLOSSOM ST
TERRYTOWN, LA 70056-2766
Phone number: 504-418-9993