Organization
CASSANDRA EVANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA EVANS LPN (LPN)
(937) 443-7516
Entity
Organization
Contact information
Practice address
430 EDGEWOOD AVE, DAYTON, OH 45402-6324
(937) 443-7516
Mailing address
430 EDGEWOOD AVE, DAYTON, OH 45402-6324
(937) 443-7516
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RN225117
OH
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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