Individual
VERONICA CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W ACACIA ST STE 19, STOCKTON, CA 95203-2441
(209) 461-3196
Mailing address
2022 E MAUERHAN PL, ANAHEIM, CA 92806-4916
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20816
CA
Other
Enumeration date
03/03/2010
Last updated
12/30/2021
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