Individual
JAIME ANTONIO CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 E FAIRMOUNT AVE, WHITEFISH BAY, WI 53217-5826
(262) 307-7536
Mailing address
163 E FAIRMOUNT AVE, WHITEFISH BAY, WI 53217-5826
(262) 307-7536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233314
WI
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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