Individual
CRYSTAL ROSE CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5425 DOLORES PL, DENTON, TX 76208-5999
(940) 442-7313
Mailing address
5425 DOLORES PL, DENTON, TX 76208-5999
(940) 442-7313
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330946
TX
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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