Most Relevant Information
Provider Data
| NPI Number: | 1003220542 |
| Provider Name: | MAURISA CASTILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2014 |
| Last Updated: | 06/12/2014 |
Provider Practice Location
1615 E 17TH ST
SANTA ANA
CA
927058529
Practice Location Phone/Fax
| Phone: | 7144747589 |
| Fax: |
Provider Mailing Location
1615 E 17TH ST
SANTA ANA
CA
927058529
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |