Individual
JUANITA F CASTELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1944 W ALPINE AVE, STOCKTON, CA 95204-2802
(209) 764-0463
Mailing address
1944 W ALPINE AVE, STOCKTON, CA 95204-2802
(209) 764-0463
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/05/2022
Last updated
08/05/2022
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