Most Relevant Information
Provider Data
| NPI Number: | 1003308875 |
| Provider Name: | JESSICA CASTELLANOS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2018 |
| Last Updated: | 06/06/2018 |
Provider Practice Location
1801 VICENTE ST
SAN FRANCISCO
CA
941162923
Practice Location Phone/Fax
| Phone: | 4156813211 |
| Fax: |
Provider Mailing Location
115 STOAKES AVE
SAN LEANDRO
CA
945771732
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |