Jack Castellanos
Jack Castellanos is a Student in an Organized Health Care Education/Training Program in Taylorsville, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4162 S Davencrest LnTaylorsville, UT 84129-5368
Phone: (801) 859-5950
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1891537890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 10, 2024 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
| Mailing address | 4162 S Davencrest Ln, Taylorsville, UT 84129-5368 |
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