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NPI Code Detail

MEDICARE: FRANCES CRYSTEL CASTILLO

MEDICARE: FRANCES CRYSTEL CASTILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2101Y00000XCounselorUNLICENSED

General Provider Information

NPI Number : 1962755116
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES CRYSTEL CASTILLO
Provider Business Mailing Address
First Line : 200 BROADWAY ST STE 70
Second Line :
City : KING CITY
State : CA
Zip : 93930-2866
Country : US
Telephone Number : 831-707-8034
Fax Number :
Provider Business Practice Location Address
First Line : 200 BROADWAY ST STE 70
Second Line :
City : KING CITY
State : CA
Zip : 93930-2866
Country : US
Telephone Number : 831-386-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 08/29/2024

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Directions to “ FRANCES CRYSTEL CASTILLO ” Practice Location

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