Most Relevant Information
Provider Data
| NPI Number: | 1003559063 |
| Provider Name: | NICOLE CASTRO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2022 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
1910 N BUSH ST
SANTA ANA
CA
927062816
Practice Location Phone/Fax
| Phone: | 7143617950 |
| Fax: |
Provider Mailing Location
1910 N BUSH ST
SANTA ANA
CA
927062816
Provider Mailing Phone/Fax
| Phone: | 7143617950 |
| Fax: |