Individual
REBECCA JENNIFER CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MARGIE CT, SENECA, SC 29678-5234
(909) 295-4222
Mailing address
405 MARGIE CT, SENECA, SC 29678-5234
(909) 295-4222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55271
SC
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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