Individual
JESSICA ANN CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 W 10TH ST, ODESSA, TX 79763-3766
(432) 664-1024
Mailing address
2029 W 10TH ST, ODESSA, TX 79763-3766
(432) 664-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
981986
TX
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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