Individual
VIVIAN CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 N TERRY ST, FORT WORTH, TX 76106-3729
(817) 682-2328
Mailing address
3708 N TERRY ST, FORT WORTH, TX 76106-3729
(817) 682-2328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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