Individual
MIYA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2034 DE LA VINA ST, SANTA BARBARA, CA 93105-3814
(805) 315-5108
Mailing address
2034 DE LA VINA ST, SANTA BARBARA, CA 93105-3814
(805) 315-5108
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MWTXSH
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245897354
MEDICAL
CA
Enumeration date
08/24/2015
Last updated
11/21/2024
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