Individual
CASSANDRA LANAE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 CALUMET LN, DAYTON, OH 45417-8010
(937) 248-1857
Mailing address
4800 DUGGER RD APT F, DAYTON, OH 45417-9262
(937) 204-6594
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315045
—
OH
Enumeration date
11/21/2018
Last updated
11/21/2018
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