Individual
DIANELIS CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8917 NW 119TH TER, HIALEAH GARDENS, FL 33018-4163
(305) 967-5713
Mailing address
8917 NW 119TH TER, HIALEAH GARDENS, FL 33018-4163
(305) 967-5713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104992
FL
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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