Individual
JORGE LUIS CASTILLO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33101 S 2243 PR SE, KENNEWICK, WA 99337-7103
(509) 378-8384
Mailing address
33101 S 2243 PR SE, KENNEWICK, WA 99337-7103
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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