# MS. CASSANDRA WHITAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114502069
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | B111376006 | VA | Yes |
| 291U00000X | Clinical Medical Laboratory | 45D2253313 | TX | — |

## Other

- **Enumeration date:** 03/12/2021
- **Last updated:** 03/09/2022
