Individual
JOMEL BENIALYN CASTILLO DAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 FOXWAITHE LN, HUMBLE, TX 77338-2906
(832) 335-4878
Mailing address
7710 FOXWAITHE LN, HUMBLE, TX 77338-2906
(832) 335-4878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216703
TX
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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