Individual
SOFIA VANESSA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
3620 42ND ST S APT 311, FARGO, ND 58104-7391
(818) 744-5469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24120
ND
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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