Individual
IRIS CAMILLE CANICULA DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, BOX 50095, SEATTLE, WA 98195-0001
(206) 543-6420
Mailing address
1959 NE PACIFIC ST, BOX 50095, SEATTLE, WA 98195-0001
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
.60329901
WA
207RN0300X
Nephrology Physician
Primary
MD60329901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851611875
—
WA
Enumeration date
06/02/2010
Last updated
07/13/2015
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