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Individual

JULIE MONIQUE CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
541 S HAM LN, LODI, CA 95242-3530
(209) 224-8940
Mailing address
407 FELTON WAY, STOCKTON, CA 95207-2736
(209) 639-2983

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42133
CA

Other

Enumeration date
11/24/2021
Last updated
11/24/2021
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