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Chanel Castillo

NPI 1316308166 · on the registry since 2016 · sole proprietor

Practice

Address
30290 Skippers Way Dr
Canyon Lake, CA 92587
Phone
(909) 762-7048

Additional practice sites

  • 7967 Broadway, Lemon Grove, CA

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California