Individual
KENDIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
Mailing address
109 SEMINOLE CT, HOWELL, NJ 07731-2454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00760200
NJ
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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