Individual
RAYNARD A CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16465 SIERRA LAKES PKWY, FONTANA, CA 92336-1242
(909) 244-9593
(833) 903-0337
Mailing address
1419 ORANGE TREE LN, UPLAND, CA 91786-1501
(909) 973-2388
(909) 581-9160
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
803417
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95009322
CA
Other
Enumeration date
09/27/2013
Last updated
05/07/2024
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