Individual
ANNA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19110 GREENLEAF ST, OMAHA, NE 68136-1209
(402) 709-5429
Mailing address
516 W ANGUS ST, GRETNA, NE 68028-4422
(402) 895-3388
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
69269
NE
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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