Individual
ALLIE BROOKE CASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 441-2600
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61046666
WA
363AM0700X
Medical Physician Assistant
61046666
WA
Other
Enumeration date
02/17/2019
Last updated
06/22/2021
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