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Individual

CHRISTA DANELL CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1397 WEIMER ROAD, TAOS, NM 87571
(505) 751-5835
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001-PA20
NM

Other

Enumeration date
04/27/2006
Last updated
06/05/2018
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