Individual
MR. FAVIAN CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1305 WILLOW CT, SUISUN CITY, CA 94585-3815
(707) 631-9549
Mailing address
1305 WILLOW CT, SUISUN CITY, CA 94585-3815
(707) 631-9549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95037459
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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