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1821617796
LISA CARRILLO
ROSEVILLE, CA
NPI
1821617796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: CA 738171)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
LISA CARRILLO RN
4332 MAJESTIC PRINCE WAY
ROSEVILLE, CA 95747-9627
Phone number: 650-452-8434
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Mailing Address
LISA CARRILLO RN
8 WILSHIRE CT
DALY CITY, CA 94015-1038
Phone number: 650-452-8434
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