Individual
JOSUE ADAN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
H M SMITH BLVD, CAMP LEJEUNE, NC 28547
(789) 691-0293
Mailing address
354 HINSON LN, RICHLANDS, NC 28574-7184
(786) 691-0293
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
08/19/2022
Last updated
03/16/2026
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