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Individual
MARY JANE FRONDA CASTILLO
Active
Individual
MARY JANE FRONDA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00810600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00810600
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00810600
NJ
Other
Enumeration date
05/20/2018
Last updated
08/29/2019
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