Individual
MRS. REIKO ADELE CASTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA, LSA
Contact information
Practice address
4801 KIPPER DR, MOSELEY, VA 23120-2221
(757) 636-7856
Mailing address
4801 KIPPER DR, MOSELEY, VA 23120-2221
(757) 636-7856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000087
VA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
06/11/2021
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