Provider Demographics
NPI:1538926019
Name:CASTILLO, JAMILLE JAYE OBILLO
Entity type:Individual
Prefix:
First Name:JAMILLE JAYE
Middle Name:OBILLO
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 168TH ST SW # D9
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-6896
Mailing Address - Country:US
Mailing Address - Phone:206-591-6004
Mailing Address - Fax:
Practice Address - Street 1:18001 BOTHELL EVERETT HWY STE 101
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-1660
Practice Address - Country:US
Practice Address - Phone:425-402-6485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician