Individual provider · NPI-1
Luisa Ivelisse Castillo
Health Educator · Houston, TX
NPI number1679199798
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1679199798
- Entity type
- Individual (NPI-1)
- Name
- Luisa Ivelisse Castillo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2020
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
Practice location
6518 Trenton Lake LnHouston, TX 77041-7310
Phone 713-502-8854
Mailing address
6518 Trenton Lake LnHouston, TX 77041-7310
Phone 713-502-8854
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