Individual
MRS. ALICIA LENEE CAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3628 FIESTA WAY, MIDDLETOWN, OH 45044-6110
(513) 594-0975
Mailing address
3628 FIESTA WAY, MIDDLETOWN, OH 45044-6110
(513) 594-0975
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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