Individual
MRS. AUDRA ELIZABETH CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1117 E MAIN ST, SUITE 4, MEDFORD, OR 97504-7404
(541) 779-2577
Mailing address
2033 SPRING ST, MEDFORD, OR 97504-6371
(541) 890-4596
(541) 227-6705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11588
OR
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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