Stacie Carrillo, PAC
NPI #1730731068 in Hanover, Pennsylvania
Provider Information
- NPI Number
- 1730731068
- Entity Type
- Individual
- Name
- Stacie Carrillo, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jul 16, 2019
- Last Updated
- Mar 14, 2024
Practice Location
- Address
- 100 EISENHOWER DR
- City
- Hanover
- State
- Pennsylvania
- ZIP Code
- 17331-5241
- Phone
- (717) 646-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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