| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAUL CARRILLO | 1790391282 | 2020-09-20 |
Paul Carrillo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1790391282. Registration indicates Paul Carrillo is a provider of services with a specialization in Technician: Personal Care Attendant (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, )
| Entity Type | Individual |
| Provider Name | Paul Carrillo |
| Practice Office Address | 4660 S EASTERN AVE STE 201 LAS VEGAS, NV US |
| Practice Office Telephone | 7024625251 |
| Mailing Address | 4660 S EASTERN AVE STE 201 LAS VEGAS, NV 891196139 US |
| Business Telephone | 7024625251 |
| Code | Practice | License No State |
|---|---|---|
| 3747P1801X PRIMARY | Technician: Personal Care Attendant Nursing Service Related Providers Technician Technician Personal Care Attendant Nursing Service Related Providers Technician |