Individual
CARLA MARCELA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4901 GREEN RIVER RD SPC 310, CORONA, CA 92878-5622
(714) 420-4036
Mailing address
4901 GREEN RIVER RD SPC 310, CORONA, CA 92878-5622
(714) 420-4036
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN722465
CA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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