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Theresa Castillo
Student in an Organized Health Care Education/Training Program in Goodyear, Arizona
NPI 1104217538

Theresa Castillo is a Student in an Organized Health Care Education/Training Program based in Goodyear, AZ. Theresa Castillo practices in Goodyear, AZ. The NPI Number for Theresa Castillo is 1104217538 and holds a License No. LP044327 (Arizona).

The current practice location address for Theresa Castillo is 4095 N. 144Th Ave., Goodyear, AZ and can be reached out via phone at 623-535-6318. You can also correspond with Theresa Castillo through the mailing address at 4095 N. 144TH AVE., GOODYEAR, AZ - 85395 (mailing address contact number: 623-535-6318).

Location: 4095 N. 144Th Ave., Goodyear, AZ, 85395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104217538
Provider Name
Theresa Castillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4095 N. 144Th Ave., Goodyear, AZ, 85395
Phone Number
623-535-6318
Fax Number
Provider Enumeration Date
02/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4095 N. 144Th Ave.
City
Goodyear
State
Arizona
Zip
85395
Phone Number
623-535-6318
Fax Number
person
Provider Business Mailing Address Details
Address
4095 N. 144Th Ave.
City
Goodyear
State
Arizona
Zip
85395
Phone Number
623-535-6318
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LP044327 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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