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: |