Individual
LISA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 LOCKERBIE DR SE, RIO RANCHO, NM 87124-3638
(505) 385-0850
Mailing address
3419 LOCKERBIE DR SE, RIO RANCHO, NM 87124-3638
(505) 385-0850
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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