Individual
IVAN ENRIQUE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B, HS2
Contact information
Practice address
300 E MAIN ST, NORFOLK, VA 23510-1753
(562) 922-5135
Mailing address
300 E MAIN ST, NORFOLK, VA 23510-1753
(562) 922-5135
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
941375
MN
146N00000X
Basic Emergency Medical Technician
B1688832
CA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
04/02/2017
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