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Individual

MS. TANIA M CASTANEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACY TECHNICIAN

Contact information

Practice address
716 W 29TH ST, HIALEAH, FL 33012-5606
(305) 883-7476
(305) 883-7479
Mailing address
1305 W 44TH PL APT 106, HIALEAH, FL 33012-3344
(305) 362-2097

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT276
FL
363A00000X
Physician Assistant
R.M.A 190804
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190804
R.M.A
FL
01
RPT276
REGISTERED PHARMACY TECHNICIAN
FL
Enumeration date
10/14/2009
Last updated
10/14/2009
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