Individual
CITADEL SOMOZA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
5711 FOX HILL DR, STERLING HEIGHTS, MI 48310-4153
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
4704252041
MI
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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