Individual
JACKLYN KAY CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5838 CASTLE HUNT, SAN ANTONIO, TX 78218-4111
(210) 669-3714
Mailing address
5838 CASTLE HUNT, SAN ANTONIO, TX 78218-4111
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230972
TX
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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