Sandra Minelis Castillo
Technician, Other in Lake Worth, FL. Individual provider (NPI-1).
NPI number1669901229
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669901229
- Entity type
- Individual (NPI-1)
- Name
- Sandra Minelis Castillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | FL | Yes |
Practice location
1741 4th Ave N Apt 1Lake Worth, FL 33460-2868
Phone 561-420-3115
Mailing address
1741 4th Ave N Apt 1Lake Worth, FL 33460-2868
Phone 561-420-3115
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