Individual
TANIA CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1196 THIRD AVE FL 1, CHULA VISTA, CA 91911-3103
(619) 745-3596
Mailing address
1196 THIRD AVE, CHULA VISTA, CA 91911-3131
(619) 745-3596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F5592817
CA
Other
Enumeration date
01/04/2019
Last updated
01/18/2019
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