Individual
ANDRES RICARDO CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SF IDC
Contact information
Practice address
260 ANACONDA ST BLDG 262, SAN DIEGO, CA 92155-5125
(619) 537-3469
Mailing address
260 ANACONDA ST BLDG 262, SAN DIEGO, CA 92155-5125
(619) 537-3469
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/17/2022
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