Individual
GUSTAVO ALEJANDRO CASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 GRENACHE LN NW, KENNESAW, GA 30152-6770
(770) 757-7771
(770) 916-4506
Mailing address
1909 GRENACHE LN NW, KENNESAW, GA 30152-6770
(770) 757-7771
(770) 916-4506
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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