Individual
GWENDOLYN CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 467-8512
Mailing address
18321 NW 79TH CT, HIALEAH, FL 33015-2706
(305) 467-8512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11011164
FL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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