Lisa Castillo

NPI #1073966644 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1073966644
Entity Type: Individual
Name: Lisa Castillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 19, 2016
Last Updated: Jul 19, 2016

Practice Location

Address: 3419 LOCKERBIE DR SE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-3638
Phone: (505) 385-0850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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