Individual
CAROLE DECASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COUNTY LINE RD., CHAPARRAL, NM 88081
(575) 824-6714
Mailing address
PO BOX 70, ANTHONY, NM 88021-0070
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
798563
TX
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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