EZEQUIEL CARRILLO

FORT RUCKER, AL
NPI1609267137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2015-02-05
Last Update Date2015-02-05
Business Address
-- EZEQUIEL CARRILLO Behavioral HLTH Tech
BUIDLING 301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7028
Mailing Address
-- EZEQUIEL CARRILLO Behavioral HLTH Tech
BUIDLING 301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7028