Gennine Castaneda MS CCC SLP

NPI 1306991898 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1306991898
Gender Female
Enumeration Date 01/24/2007
Last Updated 11/05/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3401 MAPLE GROVE DR
MADISON WI, 53719-5013, US
Phone (608) 845-1000
Fax (608) 845-1001
Business Location
6405 PIZARRO CIR
MADISON WI, 53719-1893, US
Phone (608) 848-7332
Fax
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 1980 154
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According to our database, Gennine Castaneda MS CCC SLP NPI is 1306991898, taxonomy code is 314000000X and license number is 1980 154, license state is located at Wisconsin. Gennine Castaneda MS CCC SLP physically located at 3401 Maple Grove Dr, Madison WI, 53719-5013. NPI Number Gennine Castaneda MS CCC SLP has the Individual type.

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1306991898 NPI number is provided on an as is basis without warranty of any kind. 1306991898 is maintained by the National Plan & Provider Enumeration System. The contents of Gennine Castaneda MS CCC SLP are for informational purposes only.