Individual
RICHARD CASTANEDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 AMANDA DR, LAFAYETTE, LA 70507-3504
(337) 781-1481
Mailing address
210 AMANDA DR, LAFAYETTE, LA 70507-3504
(337) 781-1481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JOO142
LA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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