Individual
ERNESTO CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(765) 430-4516
Mailing address
1755 HUFFMAN AVE, DAYTON, OH 45403-3109
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
10/22/2024
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