Individual
RUBEN CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 2ND ST SW STE 5314, US COAST GUARD COMDT (CG-1122), WASHINGTON, DC 20593-0002
(409) 723-6545
Mailing address
2100 2ND ST SW STE 5314, US COAST GUARD COMDT (CG-1122), WASHINGTON, DC 20593-0002
(409) 723-6545
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
TECHNICIAN
DC
Enumeration date
10/11/2006
Last updated
07/08/2007
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