JAZZRIEL LE CLARK-CASTO

BRIDGEPORT, WV
NPI1497500730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  107200)
Enumeration Date2024-04-19
Last Update Date2025-01-17
Business Address
JAZZRIEL LE CLARK-CASTO NP
527 MEDICAL PARK DR STE 205
BRIDGEPORT, WV 26330-9009
Phone number: 681-342-3730
Mailing Address
JAZZRIEL LE CLARK-CASTO NP
527 MEDICAL PARK DR STE 205
BRIDGEPORT, WV 26330-9009
Phone number:
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