Brandon Cj-Tylor Castillo
Community Health Worker in Clovis, CA. Individual provider (NPI-1).
NPI number1912461765
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1912461765
- Entity type
- Individual (NPI-1)
- Name
- Brandon Cj-Tylor Castillo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2019
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
784 W Holland AveClovis, CA 93612-4800
Phone 559-538-1230
Mailing address
784 W Holland AveClovis, CA 93612-4800
Phone 559-538-1230
Other practice locations
130 W Barstow Ave
Fresno, CA 93704-2156
Fresno, CA 93704-2156
Phone 559-538-1230
205 N Blackstone Ave
Fresno, CA 93701-1939
Fresno, CA 93701-1939
Phone 559-538-1230
1828 Broadway St
Fresno, CA 93721-1008
Fresno, CA 93721-1008
Phone 559-538-1230
4041 Plaza Dr W
Fresno, CA 93702-1342
Fresno, CA 93702-1342
Phone 559-538-1230
1553 Santa Clara St
Fresno, CA 93706-3447
Fresno, CA 93706-3447
Phone 559-538-1230
524 S Trinity St
Fresno, CA 93706-1873
Fresno, CA 93706-1873
Phone 559-538-1230
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