Angela Johanna Carrillo, L.M.T

NPI #1720449671 in Yuma, Arizona

Provider Information

NPI Number: 1720449671
Entity Type: Individual
Name: Angela Johanna Carrillo, L.M.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: Mar 18, 2016
Last Updated: Dec 31, 2016

Practice Location

Address: 281 W 24TH STREET
Address 2: SUITE 147
City: Yuma
State: Arizona
ZIP Code: 85364
Phone: (928) 366-4205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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