Whalio Doctors

NPI 1538761440

Carly Castillo

Practitioner Registered Dietetic Technician San Luis Obispo, CA

Practice location

Address
1080 Grove St, San Luis Obispo, CA 93401-2912
Phone
(805) 248-9513
Mailing address
PO Box 15807, San Luis Obispo, CA 93406-5807

Registered specialties

Registered Dietetic Technician Primary
Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86120000

Registry record

NPI
1538761440
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2020
Record last updated
15 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.