Individual
GUILLERMINA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N DATE ST STE 8, T OR C, NM 87901-2378
(575) 894-7589
(575) 894-7584
Mailing address
405 N DATE ST STE 8, T OR C, NM 87901-2378
(575) 894-7589
(575) 894-7584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5547
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5547
STATE LICENSE
NM
Enumeration date
10/07/2015
Last updated
10/07/2015
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