Individual
ANTHONY CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 W INDIAN TRAIL RD, SPOKANE, WA 99208-4739
(509) 559-3100
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61127744
WA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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