Provider Demographics
NPI:1447500434
Name:CASTANEDA, SANDRA ELIZABETH (HHA)
Entity type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:ELIZABETH
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 TEWKESBURY PL NW
Mailing Address - Street 2:1129 TEWKESBURY PL NW WASHINTON DC
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2917
Mailing Address - Country:US
Mailing Address - Phone:202-726-0639
Mailing Address - Fax:
Practice Address - Street 1:1129 TEWKESBURY PL NW
Practice Address - Street 2:1129 TEWKESBURY PL NW WASHINTON DC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2917
Practice Address - Country:US
Practice Address - Phone:202-726-0639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide