Individual
TINA NICOLE CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15310 ELM PARK ST, SAN ANTONIO, TX 78247-2903
(361) 548-4143
Mailing address
15310 ELM PARK ST, SAN ANTONIO, TX 78247-2903
(361) 548-4143
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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