Individual
JACQUELINE CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 SW 72ND AVE, MIAMI, FL 33155-4510
(305) 377-3297
Mailing address
5225 NW 2ND ST, MIAMI, FL 33126-5025
(786) 307-5709
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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