Individual
ELISA F CASTANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 S MAIN ST, CORONA, CA 92882-5303
(951) 279-3222
Mailing address
6711 ARLINGTON AVE, RIVERSIDE, CA 92504-1955
(951) 352-3964
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/11/2019
Last updated
01/08/2021
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