MIKE EDUARDO CASILLASVITELA

SANTA ANA, CA
NPI1316502974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
MIKE EDUARDO CASILLASVITELA
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-7384
Mailing Address
MIKE EDUARDO CASILLASVITELA
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number:
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