Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist |
NPI | 1295257319 |
---|---|
Provider Name | Denisse Arlene Castellanos |
First Address | Wesley Chapel, FL 33545-3221 |
Second Address | Wesley Chapel, FL 33545-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2017 |
Last Update Date | 12/01/2022 |