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1710712369
SAMANTHA CARRILLO
LOS ANGELES, CA
NPI
1710712369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 698770)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
SAMANTHA CARRILLO
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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Mailing Address
SAMANTHA CARRILLO
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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