Individual
ANNA KARMINA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHSII
Contact information
Practice address
1904 RICHLAND AVE STE C2, CERES, CA 95307-4562
(209) 525-5079
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 664-8044
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
C4871214
CA
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4871214
CCAPP
CA
Enumeration date
06/01/2017
Last updated
06/03/2025
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