Individual
MAYRA CAROLINA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 LEGENDARY DR, LAS VEGAS, NV 89121-4430
(702) 832-6210
Mailing address
2605 RAINBOW GLOW ST, NORTH LAS VEGAS, NV 89030-3709
(702) 630-5009
(702) 631-9821
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
08/05/2013
Last updated
09/19/2013
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