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Individual

MR. JESUS I. CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPSGT

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
13841
VA
2471V0105X
Vascular Sonography Radiologic Technologist
135254
MD
247200000X
Other Technician
1344-5635
KS

Other

Enumeration date
02/10/2012
Last updated
07/10/2025
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