Individual
ALFREDO CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 N SIERRA HEIGHTS CIR, MESA, AZ 85207-4275
(480) 710-4311
Mailing address
1416 N SIERRA HEIGHTS CIR, MESA, AZ 85207-4275
(480) 710-4311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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