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Organization
JACQUELINE G DE CASTRO MD INC
Active
Organization
JACQUELINE G DE CASTRO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE G DECASTRO M.D. (CEO)
(559) 583-4510
Entity
Organization
Contact information
Practice address
460 GREENFIELD AVE, SUITE 4, HANFORD, CA 93230-3500
(559) 582-9100
(559) 582-9103
Mailing address
PO BOX 2117, HANFORD, CA 93232-2117
(559) 582-9100
(559) 582-9103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-649-8026
ECFMG
—
Enumeration date
07/01/2008
Last updated
03/07/2023
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