SHASTA VICTORIA GRIMES CASTRO-PENULLAR

JERSEY CITY, NJ
NPI1699819730
Other NameSHASTA VICTORIA GRIMES CASTRO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2007-02-19
Last Update Date2007-12-10
Business Address
MRS. SHASTA VICTORIA GRIMES CASTRO-PENULLAR BSPT
242 10TH ST
JERSEY CITY, NJ 07302-1406
Phone number: 201-795-2499
Mailing Address
MRS. SHASTA VICTORIA GRIMES CASTRO-PENULLAR BSPT
257 BOYD AVE
JERSEY CITY, NJ 07304-1103
Phone number: 201-200-0650