Individual
MRS. YOSELINE CASTILLO KIBIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10160 DORCHESTER RD, SUMMERVILLE, SC 29485
(843) 871-7900
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 572-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
11/03/2024
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