Individual
SHAREECE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2513 N 128TH DR, AVONDALE, AZ 85392-7124
(623) 935-5001
(623) 535-6562
Mailing address
2513 N 128TH DR, AVONDALE, AZ 85392-7124
(623) 935-5001
(623) 535-6562
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP026995
AZ
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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