Individual
SOFIA MARIE CASTILLO-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
112 COUNTY ROAD 134, ALICE, TX 78332-7709
(361) 389-3447
Mailing address
112 COUNTY ROAD 134, ALICE, TX 78332-7709
(361) 389-3447
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
818520
TX
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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