SearchNew Jersey225100000X

Shasta Victoria Castro-Penullar, BSPT

NPI 1699819730 · on the registry since 2007 · sole proprietor

Practice

Address
242 10th St
Jersey City, NJ 07302
Phone
(201) 795-2499
Fax
(201) 795-3579
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey