Individual
DARY MARTIN CASTILLO ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DAVIS SQ, SOMERVILLE, MA 02144-2904
(617) 803-9934
Mailing address
1 DAVIS SQ, SOMERVILLE, MA 02144-2904
(617) 803-9934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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