Individual
CASSANDRA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3338 WALDECK PL, DAYTON, OH 45405-2050
(937) 277-0688
Mailing address
3338 WALDECK PL, DAYTON, OH 45405-2050
(937) 277-0688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN086324-M-ID
OH
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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