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Individual

DARREN CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1377 ORILLIA RD, VIRGINIA BEACH, VA 23464-8605
(757) 305-5631
Mailing address
1377 ORILLIA RD, VIRGINIA BEACH, VA 23464-8605
(757) 305-5631

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B67223011
VA

Other

Enumeration date
10/31/2019
Last updated
10/31/2019
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