Individual
KENDRA LYNN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999
NA
—
Enumeration date
07/18/2018
Last updated
07/18/2018
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