Individual
NUBIA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14354 W ROANOKE AVE, GOODYEAR, AZ 85395-1414
(602) 419-9011
Mailing address
2025 N 3RD ST STE 250, PHOENIX, AZ 85004-1472
(602) 283-1573
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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