-- MANOLO CARRILLO --
Individual Provider (NPI-1)
Active
Dental Hygienist
Provider Information
- NPI Number
1578864666- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 515 W COURT ST, PASCO, WA, 993013737
- Phone
- (509) 547-2204
Specialties & Taxonomies
Dental Hygienist
Primary License: WA #DH60163723