ANTIOCO CARRILLO

LAS VEGAS, NV
NPI1679855365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  LADC 011645)
Enumeration Date2011-09-19
Last Update Date2011-09-19
Business Address
-- ANTIOCO CARRILLO
714 E SAHARA AVE
LAS VEGAS, NV 89104-2942
Phone number: 702-369-8700
Mailing Address
-- ANTIOCO CARRILLO
714 E SAHARA AVE
LAS VEGAS, NV 89104-2942
Phone number:
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