Individual
HAILEY ALYSSA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 NORTHWOODS BLVD UNIT E2, NORTH CHARLESTON, SC 29406-4043
(843) 569-3937
Mailing address
1428 WATER OAK CUT, MOUNT PLEASANT, SC 29466-8080
(505) 506-4764
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.2186
SC
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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