Individual
MARLEN CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 MOUNTAIN VIEW ST, SAN FERNANDO, CA 91340-1244
(818) 926-8853
Mailing address
1406 MOUNTAIN VIEW ST, SAN FERNANDO, CA 91340-1244
(818) 926-8853
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
D1141878
CA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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