Individual
TANIA CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7851 NW 159TH TER, MIAMI LAKES, FL 33016-6680
(786) 641-7026
Mailing address
7851 NW 159 TR, MIAMI LAKES, FL 33016
(786) 641-7026
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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