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Individual

JOANNA CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV 89117-7528
(972) 218-0501
Mailing address
9680 ANN AVE, TYLER, TX 75706-7306
(903) 571-6076

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
06/23/2023
Last updated
06/23/2023
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