Individual
CANDICE CASTRO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
55 PACIFIC AVE, SAN FRANCISCO, CA 94111-2009
(415) 480-1244
Mailing address
30357 SAN PASQUAL RD, TEMECULA, CA 92591-1519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004237
CA
Other
Enumeration date
04/01/2016
Last updated
09/26/2023
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