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Individual

CARMEN CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(209) 573-6147
Mailing address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(209) 573-6147

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A199037
CA
207Q00000X
Family Medicine Physician
Primary
8635
CA
207Q00000X
Family Medicine Physician
Primary
A199037
CA

Other

Enumeration date
04/12/2022
Last updated
01/30/2026
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