Provider Demographics
NPI:1912516550
Name:CASTILLO NAVARRO, SIXTA MARIA (CMI)
Entity Type:Individual
Prefix:
First Name:SIXTA
Middle Name:MARIA
Last Name:CASTILLO NAVARRO
Suffix:
Gender:F
Credentials:CMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23901 41ST AVE SE APT 10B
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7747
Mailing Address - Country:US
Mailing Address - Phone:252-737-9354
Mailing Address - Fax:
Practice Address - Street 1:23901 41ST AVE SE APT 10B
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7747
Practice Address - Country:US
Practice Address - Phone:252-737-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC14482171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter