NPI | 1083820203 |
---|---|
Professional Name | ANTONIO LOPEZ CASTANEDA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
163W00000X Registered Nurse (Licence: MI 4704289261) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2021-06-12 |