Individual
WENDY CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 313-3394
Mailing address
2761 28TH AVE, APARTMENT C, GREELEY, CO 80634-7815
(970) 313-3394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0017102
CO
Other
Enumeration date
03/27/2015
Last updated
02/21/2017
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