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Individual

BERAY MIRELLA CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
351 FELICE DRIVE, HOLLISTERE, CA 95023
(831) 637-5306
Mailing address
351 FELICE DRIVE, HOLLISTER, CA 95023
(831) 637-5306
(831) 637-5842

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/21/2008
Last updated
11/21/2008
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