Individual
DR. MARIEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2320 FREEWAY DR, MOUNT VERNON, WA 98273-5445
(360) 814-6870
(360) 814-6871
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60091777
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263681
LABOR & INDUSTRIES
WA
Enumeration date
09/28/2006
Last updated
03/29/2018
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