Individual
JOHN CASTERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38459 TAMWORTH AVE, NORTH BRANCH, MN 55056-4800
(651) 243-5138
Mailing address
PO BOX 204, NORTH BRANCH, MN 55056-0204
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1088566
MN
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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