Individual
CASSANDRA BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4035 W ALAMEDA RD, GLENDALE, AZ 85310-3304
(623) 445-4700
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3699
(623) 445-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240033
AZ
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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