Individual
MS. JESSICA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
E.D.S.
Contact information
Practice address
112 MEADOW LAKE RD, LOS LUNAS, NM 87031-9449
(505) 866-8333
Mailing address
PO BOX 1300, LOS LUNAS, NM 87031-1300
(505) 866-8333
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
327656
NM
Other
Enumeration date
08/07/2008
Last updated
11/19/2014
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