Most Relevant Information
Provider Data
| NPI Number: | 1003323759 |
| Provider Name: | JUAN ALBERT CASTANEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/03/2018 |
| Last Updated: | 01/03/2018 |
Provider Practice Location
1630 E SHAW AVE STE 150
FRESNO
CA
937108109
Practice Location Phone/Fax
| Phone: | 5592488550 |
| Fax: |
Provider Mailing Location
1630 E SHAW AVE STE 150
FRESNO
CA
937108109
Provider Mailing Phone/Fax
| Phone: | 5592488550 |
| Fax: |