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Individual

MS. MARIA LOLA CASTRO-JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
42 NICHOLS ST STE 10, SPENCERPORT, NY 14559-2196
(585) 637-7558
(585) 637-7566
Mailing address
42 NICHOLS ST STE 10, SPENCERPORT, NY 14559-2196
(585) 637-7558
(585) 637-7566

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308783
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308783-1
NY

Other

Enumeration date
10/31/2018
Last updated
06/30/2023
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