NPI 1114561222

Darren Castellanos

Practitioner Driver Virginia Beach, VA

Practice location

Address: 1377 Orillia Rd, Virginia Beach, VA 23464-8605
Phone: (757) 305-5631

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence B67223011 (VA)

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Registry record

NPI: 1114561222
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2019
Record last updated: 31 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.