Provider Demographics
NPI:1922883214
Name:CASTANEDA, ASHLEY SUZETTE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SUZETTE
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12509 GRAND TETON DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5437
Mailing Address - Country:US
Mailing Address - Phone:661-859-9238
Mailing Address - Fax:
Practice Address - Street 1:12509 GRAND TETON DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-5437
Practice Address - Country:US
Practice Address - Phone:661-859-9238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program