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Individual

MRS. JENNIFER R CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
712 LARKSPUR CT, SAN MARCOS, CA 92078-7906
(949) 207-8054
Mailing address
712 LARKSPUR CT, SAN MARCOS, CA 92078-7906
(949) 207-8054

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95190439
CA

Other

Enumeration date
06/24/2019
Last updated
06/24/2019
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