Individual
VARSHA CASTRO GUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 975-8259
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 975-8259
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05584224
—
MS
05
—
2341677
—
LA
Enumeration date
08/05/2013
Last updated
08/19/2014
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