Individual
ANDREW THOMAS CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
530 SOQUEL AVE, SANTA CRUZ, CA 95062-2301
(831) 426-7324
Mailing address
3115 DEE ST, SANTA CRUZ, CA 95062-3516
(831) 475-4640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09131964
94022
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
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