Individual
GABRIEL RAY CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9019 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
909 PHEASANT RUN DR SW, ALBUQUERQUE, NM 87121-8194
(505) 300-8357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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