Individual
ANDREA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-6540
Mailing address
2442 INDIANA AVE RM 212, FORT CAMPBELL, KY 42223-5301
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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