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Individual

MRS. DIANA LYNN CASTELLANOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADV CST, LMT

Contact information

Practice address
2856 CABRILLO DR STE 101, VENTURA, CA 93003-2858
(805) 653-6008
(805) 653-6085
Mailing address
2856 CABRILLO DR STE 101, VENTURA, CA 93003-2858
(805) 653-6008
(805) 653-6085

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070427
CA

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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