Individual
JESSICA DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
30 CAMERON CIR, LAUREL SPRINGS, NJ 08021-4861
(856) 571-2279
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN683320
PA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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