Individual ProviderJennifer CastellanosDentistDental ProvidersPractice Address1035 Placer St, Redding, CA 96001-1125(530) 246-5710(714) 658-9841PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Castellanos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083107817Provider TypeIndividualFull NameCastellanos, JenniferGenderFemaleSole ProprietorYesEnumeration Date6/6/2018Last Updated11/27/2018Contact InformationPractice LocationPractice Address1035 Placer St, Redding, CA 96001-1125Phone(530) 246-5710FaxUnlisted FaxMailing LocationMailing Address14691 Bowling Green St, Westminster, CA 92683-5764Phone(714) 658-9841FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense103233California