Individual
ELIZABETH ORTIZ CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 940-4700
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 370-1700
(290) 370-1737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17569
CA
363LF0000X
Family Nurse Practitioner
662969
CA
Other
Enumeration date
07/31/2007
Last updated
01/30/2012
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