BRIAN ANTHONY CARRILLO

RIVERSIDE, CA
NPI1538517776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54187)
Enumeration Date2016-05-27
Last Update Date2017-02-15
Business Address
-- BRIAN ANTHONY CARRILLO
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3000
Mailing Address
-- BRIAN ANTHONY CARRILLO
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number:
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