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Individual

JOANN CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W FORT ST BLDG 6, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1080
Mailing address
500 W FORT STREET BUILDING 6, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1080

Taxonomy

Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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