Provider Demographics
NPI:1003690645
Name:LLAMAS, DESIREE (CHW)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:LLAMAS
Suffix:
Gender:F
Credentials:CHW
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Other - Last Name:
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Mailing Address - Street 1:1441 SCHILLING PL BLDG 1
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4543
Mailing Address - Country:US
Mailing Address - Phone:831-796-3091
Mailing Address - Fax:831-783-7095
Practice Address - Street 1:1441 SCHILLING PL BLDG 1
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4543
Practice Address - Country:US
Practice Address - Phone:831-796-3091
Practice Address - Fax:831-783-7095
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer