Individual
GRAYSON CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011
Mailing address
2358 PORTOLA WAY, SACRAMENTO, CA 95818-3554
(312) 909-5470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026365
CA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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