Individual provider · Type 1 NPI

Jack Castellanos

Student in an Organized Health Care Education/Training Program · Taylorsville, UT

NPI number 1891537890 Active

Practice location

4162 S Davencrest Ln
Taylorsville, UT 84129-5368

Call (801) 859-5950 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891537890

Jack Castellanos's National Provider Identifier is 1891537890, issued on Jun 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Taylorsville, UT. The record was last updated on Jun 10, 2024.