person
Ms. Stacy Aileen Carrillo
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
NPI 1790401917

Stacy Aileen Carrillo is a Student in an Organized Health Care Education/Training Program based in Manchester, CT. Stacy Aileen Carrillo practices in Hartford, CT. The NPI Number for Stacy Aileen Carrillo is 1790401917 and holds a License No. (Connecticut).

The current practice location address for Stacy Aileen Carrillo is 45 Wadsworth St, Hartford, CT and can be reached out via phone at 860-680-5096.

Location: 45 Wadsworth St, Hartford, CT, 06040-4339
person
Provider Profile Details
NPI Number
1790401917
Provider Name
Stacy Aileen Carrillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
45 Wadsworth St, Hartford, CT, 06040-4339
Phone Number
860-680-5096
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 Wadsworth St
City
State
Zip
06106-7108
Phone Number
860-680-5096
Fax Number
person
Provider Business Mailing Address Details
Address
45 Wadsworth St
City
State
Zip
06106-7108
Phone Number
860-680-5096
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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