Gertrude Carrillo
NPI #1447865308 in Lake Forest, California
Provider Information
- NPI Number
- 1447865308
- Entity Type
- Individual
- Name
- Gertrude Carrillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 22722 LAMBERT ST STE 1711
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1618
- Phone
- (949) 329-8161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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