LUIS CASTRO

FORT DEFIANCE, AZ
NPI1861015117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: FL  12201)
Enumeration Date2020-05-21
Last Update Date2020-05-21
Business Address
LUIS CASTRO
CORNER OR ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504-0589
Phone number: 928-729-8835
Mailing Address
LUIS CASTRO
PO BOX 589
FORT DEFIANCE, AZ 86504-0589
Phone number: