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NPI Profile for JESUS A CASTILLO POLANCO in KATY, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI Number | 1780288142 |
|
| Status | Active | |
| Credentials | FNC | |
| Entity | Individual | |
| Enumeration date | 11/25/2020 | |
| Last updated | 08/23/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JESUS A CASTILLO POLANCO, FNC