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Individual

KELLY J CASTANEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10820 WITTMUS DR, PAPILLION, NE 68046-3886
(402) 514-3600
Mailing address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
89225
NE

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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