Search › Washington › 363A00000X
Jennifer Castelluccio, PAC
NPI 1679561435 · on the registry since 2005
Practice
- Address
- 26458 Maple Valley Black Diamond Rd Se
Maple Valley, WA 98038 - Phone
- (425) 690-3460
- Fax
- (425) 690-9460
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington