JACK CASTELLANOS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1891537890

Practice Address

4162 S DAVENCREST LN
Taylorsville, UT 84129

Phone: (801) 859-5950

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1891537890 is the National Provider Identifier for JACK CASTELLANOS, a Student in an Organized Health Care Education/Training Program provider located in Taylorsville, UT. This NPI was enumerated on June 10, 2024.
JACK CASTELLANOS practices at 4162 S DAVENCREST LN, Taylorsville, UT 84129.

Quick Facts

NPI
1891537890
Type
Individual
Enumerated
Jun 10, 2024
Last Updated
Jun 10, 2024

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