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Individual

JESSICA CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
2334 N DELANEY DR, BUCKEYE, AZ 85396-1661
(602) 291-9716

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
67
AZ

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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