Individual
CASSANDRA J POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 LAVERNA ST APT 45, FREMONT, NE 68025-2427
(402) 720-5643
Mailing address
2600 LAVERNA ST APT 47, FREMONT, NE 68025-2427
(402) 720-5643
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/17/2025
Last updated
06/02/2025
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