Individual provider · Type 1 NPI
Matthew Manuel Carrillo, OWNER
Prosthetics Case Management · Laurel, MS
NPI number
1356386288
Active
Practice location
434 S 13th Ave
Laurel, MS 39440-4345
Fax (601) 649-0035
Mailing address
PO Box 6501
Laurel, MS 39441-6501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | 07014/11.1 (MS) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
About NPI 1356386288
Matthew Manuel Carrillo, OWNER's National Provider Identifier is 1356386288, issued on Jun 17, 2006. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Laurel, MS. The record was last updated on Nov 7, 2007.