Individual
ITSY CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 HANCOCK ST STE 203, QUINCY, MA 02169-5230
(908) 900-0353
Mailing address
727 PENNSYLVANIA AVE APT 404, ELIZABETH, NJ 07201-1282
(917) 402-6776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35515-A
PR
163W00000X
Registered Nurse
NJDCATEMP-019418
NJ
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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