Individual
ANTONIO CASTILLEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 SAUL RD, SUNNYSIDE, WA 98944-2300
(509) 837-2089
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60163038
WA
Other
Enumeration date
11/08/2006
Last updated
03/14/2011
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