Individual
MONICA DANIELLE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
Mailing address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952633765
MEDI-CAL
CA
Enumeration date
06/19/2024
Last updated
06/19/2024
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