Individual
MARISA CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
592 VANDERBILT DR, NEW LENOX, IL 60451-3830
(815) 690-1818
Mailing address
592 VANDERBILT DR, NEW LENOX, IL 60451-3830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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