Individual
BIANCA ELYSE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
233550
AZ
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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