Individual
ROBERT CONRAD CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MARINE SPECIAL OPERATIONS BATTALION, BLD. 4100377, CAMP PENDLETON, CA 92055-5341
(760) 725-6576
Mailing address
1ST MARINE SPECIAL OPERATIONS BATTALION, BLD. 4100377 CAMP PENDLETON, APO, AA 92055-5341
(760) 725-6576
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8403
SPECIAL OPERATIONS INDEPENDENT DUTY CORPSMAN
CA
Enumeration date
09/26/2013
Last updated
09/26/2013
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