Castilleja Ezernack, Athena Lee

Castilleja Ezernack, Athena Lee is an individual health care provider with primary practice located at 407 Barksdale Blvd E , Barksdale Afb LA 71110-2125. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Castilleja Ezernack, Athena Lee can be contacted via phone (318) 456-6165.

Contact Information

Primary practice address
407 Barksdale Blvd E Barksdale Afb LA 71110-2125
Phone: (318) 456-6165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1790014660
LBN Legal business name Castilleja Ezernack, Athena Lee
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2009
Last updated Dec 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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