Individual
VENESAR CASTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 ONTARIO AVE S, LEHIGH ACRES, FL 33974-0569
(239) 303-7786
Mailing address
744 ONTARIO AVE S, LEHIGH ACRES, FL 33974-0569
(239) 303-7786
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
6906615
FL
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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