ATHENA LEE CASTILLEJA EZERNACK

BARKSDALE AFB, LA
NPI1790014660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-12-23
Last Update Date2009-12-23
Business Address
Mrs. ATHENA LEE CASTILLEJA EZERNACK IDMT
407 BARKSDALE BLVD E
BARKSDALE AFB, LA 71110-2125
Phone number: 318-456-6165
Mailing Address
Mrs. ATHENA LEE CASTILLEJA EZERNACK IDMT
407 BARKSDALE BLVD E
BARKSDALE AFB, LA 71110-2125
Phone number: 318-456-6165
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