Individual
JACKLYN MAURINE CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1901 VICTOR AVE, REDDING, CA 96002-0412
(530) 221-0194
(530) 221-7845
Mailing address
PO BOX 494369, REDDING, CA 96049-4369
(530) 592-3325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95103349
CA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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