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Individual

DR. MARY DAWN DE CASTRO

Active
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Individual

DR. MARY DAWN DE CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A99343
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551914
MEDICARE
CA
01
—
EAP70865F
EAPC
CA
01
—
FHC70865F
MEDICAL
CA
01
—
HAP70865F
PACT
CA
01
—
ZZZ12243Z
MEDICARE GROUP
CA
Enumeration date
05/02/2007
Last updated
11/29/2021
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