MRS. ATHENA CASTILLEJA EZERNACK, IDMT
Military Health Care Provider - Independent Duty Medical Technicians
Active
Individual
NPI: 1790014660
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Medical Technicians | 1710I1003X | Yes | - |
Frequently Asked Questions
NPI 1790014660 is the National Provider Identifier for MRS. ATHENA CASTILLEJA EZERNACK, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Barksdale Afb, LA. This NPI was enumerated on December 23, 2009.
MRS. ATHENA CASTILLEJA EZERNACK, IDMT practices at 407 BARKSDALE BLVD E, Barksdale Afb, LA 71110.
Quick Facts
- NPI
- 1790014660
- Type
- Individual
- Enumerated
- Dec 23, 2009
- Last Updated
- Dec 23, 2009
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