Individual
MR. JOHN DAVID CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCSS
Contact information
Practice address
920 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2291
(575) 993-8143
Mailing address
5711 VIA ESTRELLA, LAS CRUCES, NM 88011-2611
(575) 650-7471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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