Individual
JC FRANCES CASTILLO BALOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 W LA HABRA BLVD, LA HABRA, CA 90631-5130
(562) 691-8810
Mailing address
1770 W LA HABRA BLVD, LA HABRA, CA 90631-5130
(562) 691-8810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4948
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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