Individual
MS. AGNES CASTILLO MANOSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
5671 SANTA TERESA BLVD, 105, SAN JOSE, CA 95123-6512
(408) 284-2280
(408) 281-2857
Mailing address
319 HALYARD LN, FOSTER CITY, CA 94404-3920
(415) 706-0944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640686
CA
164W00000X
Licensed Practical Nurse
Primary
20976
CA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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