Individual
DESIREE NICHOLE CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 URANUS DR, CERES, CA 95307-3010
(209) 272-7405
Mailing address
PO BOX 490, CERES, CA 95307-0490
(209) 531-2088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
05/26/2025
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