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Individual

MISS JESSICA CASTELLANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
121 SOUTH STATE ROAD 7, PLANTATION, FL 33317
(954) 792-7113
(954) 792-7396
Mailing address
1567 SE 20 ROAD, HOMESTEAD, FL 33035
(305) 230-6620
(305) 230-6620

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
FL

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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