Individual
ALYSSA CASTANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1111 TENEYCK ST STE 200, JACKSON, MI 49201-2486
(517) 205-1468
Mailing address
2980 KEMLER RD, EATON RAPIDS, MI 48827-8931
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000872
MI
Other
Enumeration date
05/17/2020
Last updated
03/10/2023
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