Individual
GABRIELA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
Mailing address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2214873644
—
NJ
Enumeration date
10/11/2018
Last updated
10/11/2018
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