Individual
DALLAS CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2873 53RD ST, SAN DIEGO, CA 92105-4916
(619) 608-8512
Mailing address
2873 53RD ST, SAN DIEGO, CA 92105-4916
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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