Individual
JASSON CASTANO
Active
Individual
JASSON CASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6985
AZ LICENSE NUMBER
AZ
Enumeration date
11/08/2017
Last updated
12/29/2022
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