FREDERICK CASTRO SANDOVAL

MUSKOGEE, OK
NPI1487025516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0063313)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- FREDERICK CASTRO SANDOVAL L.P.N.
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-687-1039
Mailing Address
-- FREDERICK CASTRO SANDOVAL L.P.N.
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-687-1039