Individual
CELESTE LASCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
3001 HAHN DR APT 354, MODESTO, CA 95350-6585
(209) 338-4769
Mailing address
3001 HAHN DRIVE, APT 354, MODESTO, CA 95350
(209) 338-4769
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
762247
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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