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Individual

PAUL CARLO CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95023777
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95023777
CA

Other

Enumeration date
12/06/2022
Last updated
01/19/2023
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