Individual
YANIRA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
90 PLEASANT ST, RANDOLPH, MA 02368-4174
(508) 685-3134
Mailing address
28 S MAIN ST # 251, RANDOLPH, MA 02368-4821
(508) 685-3134
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6142
MA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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