Individual
MS. MARILYN A CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99-349 AHEAHE ST, AIEA, HI 96701-3510
(808) 389-5634
(808) 485-8920
Mailing address
99-349 AHEAHE ST, AIEA, HI 96701-3510
(808) 389-5634
(808) 485-8920
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1589707
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000333963
HMSA
HI
Enumeration date
10/24/2015
Last updated
10/24/2015
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