Individual
MAYELIZA DESIREE CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11224 VOLLMER LN, SAN ANTONIO, TX 78254-1793
(210) 993-3121
Mailing address
11224 VOLLMER LN, SAN ANTONIO, TX 78254-1793
(210) 993-3121
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
928039
TX
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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