Individual
MRS. BRENDA L CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
Mailing address
9300 BLACK FARM LN NW, ALBUQUERQUE, NM 87114-5953
(505) 341-0376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2805
NM
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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