Individual
GELDA ALTAGRACIA CASTILLO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9905 58TH AVE APT 2I, CORONA, NY 11368-3710
(321) 830-4581
Mailing address
1135 COBBLESTONE CIR APT B, KISSIMMEE, FL 34744-5595
(321) 830-4581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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