JACK CASTELLANOS

TAYLORSVILLE, UT
NPI1891537890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-10
Last Update Date2024-06-10
Business Address
JACK CASTELLANOS
4162 S DAVENCREST LN
TAYLORSVILLE, UT 84129-5368
Phone number: 801-859-5950
Mailing Address
JACK CASTELLANOS
4162 S DAVENCREST LN
TAYLORSVILLE, UT 84129-5368
Phone number: 801-859-5950