Individual
ILIANA CASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10017 RIDGELINE DR, MONTGOMERY VILLAGE, MD 20886-3013
(301) 979-1287
Mailing address
10017 RIDGELINE DR, MONTGOMERY VILLAGE, MD 20886-3013
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/02/2024
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