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Individual

JASON MICHAEL CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2040 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 671-5127
Mailing address
4846 WILLMONTE AVE, TEMPLE CITY, CA 91780-4042
(626) 664-6965

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO2190
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2014
Last updated
08/16/2018
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