Juan Casillas JR. NP

NPI 1003165135 - Registered Nurse - 163W00000X

NPI Details
NPI 1003165135
Gender Male
Enumeration Date 09/05/2012
Last Updated 09/19/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
222 W 39TH AVE
SAN MATEO CA, 94403-4364, US
Phone (650) 573-2669
Fax (650) 573-2214
Business Location
222 W 39TH AVE
SAN MATEO CA, 94403-4364, US
Phone (650) 573-2669
Fax (650) 573-2214
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 593398
Remove 1003165135 NPI Number
 

According to our database, Mr. Juan Casillas JR. NP NPI is 1003165135, taxonomy code is 163W00000X and license number is 593398, license state is located at California. Juan Casillas JR. NP physically located at 222 W 39th Ave, San Mateo CA, 94403-4364. NPI Number Juan Casillas JR. NP has the Individual type.

Sponsored links

1003165135 NPI number is provided on an as is basis without warranty of any kind. 1003165135 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Casillas JR. NP are for informational purposes only.