JEANNA MAE CASTRO

SAN DIEGO, CA
NPI1790134542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: CA  472887029)
Enumeration Date2016-06-11
Last Update Date2016-06-11
Business Address
-- JEANNA MAE CASTRO
3609 4TH AVE
SAN DIEGO, CA 92103-4105
Phone number: 619-255-0789
Mailing Address
-- JEANNA MAE CASTRO
3609 4TH AVE
SAN DIEGO, CA 92103-4105
Phone number: 619-255-0789
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