Tracy Carrillo

NPI #1154671667 in Mesa, Arizona

Provider Information

NPI Number: 1154671667
Entity Type: Individual
Name: Tracy Carrillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Enumeration Date: Sep 12, 2012
Last Updated: Sep 12, 2012

Practice Location

Address: 10045 E MADERO AVE
City: Mesa
State: Arizona
ZIP Code: 85209-1399
Phone: (480) 984-8947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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