Lisa Marie Carrillo, CERTIFIED PFA

NPI #1023848504 in Apple Valley, California

Provider Information

NPI Number: 1023848504
Entity Type: Individual
Name: Lisa Marie Carrillo, CERTIFIED PFA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: CERTIFIED PFA
Enumeration Date: Aug 7, 2024
Last Updated: May 2, 2025

Practice Location

Address: 18818 US HIGHWAY 18
City: Apple Valley
State: California
ZIP Code: 92307-2323
Phone: (760) 995-8891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Adult Companion	372600000X	Primary

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