Individual
JONVIC ROM CASTOR CUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7000
Mailing address
16 BELMONT CT, BEDFORD, NH 03110-6501
(160) 386-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
070922-21
NH
363LF0000X
Family Nurse Practitioner
Primary
070922-23
NH
Other
Enumeration date
03/29/2023
Last updated
05/05/2023
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