Provider Demographics
NPI:1508577412
Name:CASTRO, JUSTINE RENEE (CPC)
Entity Type:Individual
Prefix:MISS
First Name:JUSTINE
Middle Name:RENEE
Last Name:CASTRO
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3309
Mailing Address - Country:US
Mailing Address - Phone:425-322-0802
Mailing Address - Fax:425-339-2601
Practice Address - Street 1:2601 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3309
Practice Address - Country:US
Practice Address - Phone:425-322-0802
Practice Address - Fax:425-339-2601
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist