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Organization
CASTEEN SURGICAL ASSISTING
Active
Organization
CASTEEN SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REIKO ADELE CASTEEN CSA,LSA (SURGICAL ASSISTANT)
(757) 636-7856
Entity
Organization
Contact information
Practice address
4801 KIPPER DR, MOSELEY, VA 23120-2312
(757) 636-7856
Mailing address
4801 KIPPER DR, MOSELEY, VA 23120-2221
(757) 636-7856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
06/11/2021
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