Most Relevant Information
Provider Data
| NPI Number: | 1003074899 |
| Provider Name: | CHARLES ALFONZO CASTOR-THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2008 |
| Last Updated: | 05/28/2008 |
Provider Practice Location
2221 ENBORG LN
SAN JOSE
CA
951282608
Practice Location Phone/Fax
| Phone: | 4088853227 |
| Fax: | 4088852063 |
Provider Mailing Location
2221 ENBORG LN
SAN JOSE
CA
951282608
Provider Mailing Phone/Fax
| Phone: | 4088853227 |
| Fax: | 4088852063 |