Individual
ASHLEY FERNANDEZ DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4221
Mailing address
1528 ALISON ST, GRETNA, LA 70056-8602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
02/11/2021
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