Individual
ADA RENNIE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14709 ELAINE AVE, NORWALK, CA 90650-5914
(323) 791-7884
Mailing address
14709 ELAINE AVE, NORWALK, CA 90650-5914
(323) 791-7884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
558562
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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