Individual
KENDRA LASHA CASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 S JACKSON ST, MIDLAND, TX 79701-7642
(432) 466-1469
Mailing address
602 S JACKSON ST, MIDLAND, TX 79701-7642
(432) 466-1469
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345689
TX
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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