Individual
ELIZABETH CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
Mailing address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35471
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/27/2010
Last updated
04/29/2016
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