DERRICK CARRILLO

MENIFEE, CA
NPI1730572801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  42340)
Enumeration Date2015-03-12
Last Update Date2015-03-12
Business Address
-- DERRICK CARRILLO
29650 BRADLEY RD
MENIFEE, CA 92586-6521
Phone number: 951-672-0455
Mailing Address
-- DERRICK CARRILLO
29650 BRADLEY RD
MENIFEE, CA 92586-6521
Phone number: 951-672-0455