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Individual

CASSANDRA LEE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
820 CA-88, JACKSON, CA 95642
(209) 223-7040
(209) 223-7606
Mailing address
3210 TRAFFIC WAY, ATASCADERO, CA 93422-2602
(805) 234-4823

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027499
CA

Other

Enumeration date
11/14/2023
Last updated
01/29/2024
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