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Individual

AHSAKI PARRA-CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 428-4111
Mailing address
12016 BRADFIELD AVE, LYNWOOD, CA 90262-5132
(559) 361-9956

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/04/2019
Last updated
12/12/2019
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