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Individual

GEDEL M CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(877) 722-2737
Mailing address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(877) 722-2737

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
172V00000X
Community Health Worker
CA
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
373H0000X
EMPLOYER
CA
Enumeration date
06/14/2021
Last updated
06/03/2025
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