Individual
MS. JUANITA RIVAS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
200 W SHAW AVE STE 110, CLOVIS, CA 93612-3684
(559) 325-6161
Mailing address
200 W SHAW AVE STE 110, CLOVIS, CA 93612-3684
(559) 325-6161
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
5336
CA
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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