Individual
MRS. MELODY CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 534-6292
(310) 539-3857
Mailing address
1403 LOMITA BLVD STE 200, HARBOR CITY, CA 90710-2086
(310) 534-6292
(310) 539-3857
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
349946
CA
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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