MANOLO CARRILLO

PASCO, WA
NPI1578864666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH60163723)
Enumeration Date2010-11-05
Last Update Date2010-11-05
Business Address
-- MANOLO CARRILLO
515 W COURT ST
PASCO, WA 99301-3737
Phone number: 509-547-2204
Mailing Address
-- MANOLO CARRILLO
PO BOX 1452
PASCO, WA 99301-1452
Phone number: 509-547-2204