Individual
MARIA AMANDA CASTILLO MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10605 BALBOA BLVD, 100, GRANADA HILLS, CA 91344-6342
(818) 832-2410
(818) 832-2567
Mailing address
10605 BALBOA BLVD, 100, GRANADA HILLS, CA 91344-6342
(818) 832-2410
(818) 832-2567
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
402769
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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