Individual
DAISY TAHERE CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 655-6422
(225) 341-5745
Mailing address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 655-6422
(225) 341-5745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200262
LA
Other
Enumeration date
10/09/2009
Last updated
04/12/2018
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