Individual
JUAN DIEGO CASTANEDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11909 N DIVISION ST STE 102, SPOKANE, WA 99218-1903
(509) 319-2235
Mailing address
210 SIMPSON PKWY APT 723, CHENEY, WA 99004-5014
(509) 952-3082
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WDL226R7C33B
WA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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