Most Relevant Information
Provider Data
| NPI Number: | 1003578451 |
| Provider Name: | LAURA ELIZABETH CASTANON |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2021 |
| Last Updated: | 10/12/2021 |
Provider Practice Location
1273 M STUART DR
CALEXICO
CA
922313940
Practice Location Phone/Fax
| Phone: | 7605925444 |
| Fax: |
Provider Mailing Location
1273 M STUART DR
CALEXICO
CA
922313940
Provider Mailing Phone/Fax
| Phone: | 7605925444 |
| Fax: |