Individual
SANDRA VERONICA LEYAN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 TUFTS ST, CHARLESTOWN, MA 02129-2711
(617) 653-8007
Mailing address
AVENIDA CONDELL 1415, DEPARTAMENTO 213, SANTIAGO, REGIN METROPOLITANA 83200-00
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2327535
MA
363L00000X
Nurse Practitioner
Primary
RN2327535
MA
363LF0000X
Family Nurse Practitioner
RN2327535
MA
Other
Enumeration date
10/13/2021
Last updated
08/08/2024
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