Individual
NICOLE R CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W MIDDLESEX AVE, PORT READING, NJ 07064-1518
(862) 888-6281
Mailing address
2 WESTERVELT AVE, HAWTHORNE, NJ 07506-3817
(862) 888-6281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00249200
NJ
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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