Individual
ANJO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MEDICAL BATTALION, REGIMENTAL AID STATION, CAMP PENDLETON, CA 92055-5019
(760) 725-3784
Mailing address
PO BOX 555019, CAMP PENDLETON, CA 92055-5019
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086055089
MILITARY
—
Enumeration date
04/12/2017
Last updated
04/12/2017
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