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Individual

CHRISTINA CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
16519 VICTOR ST, SUITE 307, VICTORVILLE, CA 92395-3965
(760) 955-9555
Mailing address
5406 W 139TH ST, HAWTHORNE, CA 90250-6448

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
655498
CA

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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