Individual
DR. CRYSTAL VANESSA CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 S WELLS AVE, RENO, NV 89502-2550
(775) 329-6300
(775) 348-3896
Mailing address
225 E CHICAGO AVE # 152, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-065621
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125-065621
—
IL
Enumeration date
06/20/2014
Last updated
12/06/2019
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