Individual provider · Type 1 NPI

Lina Michelle Carrillo-Fulk, RN, PHN

Community Health Registered Nurse · Perris, CA

NPI number 1457533291 Active

Practice location

308 East San Jacinto Avenue
Perris, CA 92570

Mailing address

4065 County Circle Dr
Riverside, CA 92503-3410

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X257962 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1457533291

Lina Michelle Carrillo-Fulk, RN, PHN's National Provider Identifier is 1457533291, issued on Dec 4, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Perris, CA. The record was last updated on Dec 4, 2007.