Individual
KASANDRA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 NW 21ST TER LOT 577, BOYNTON BEACH, FL 33436-2838
(561) 891-0384
Mailing address
1517 NW 21ST TER LOT 577, BOYNTON BEACH, FL 33436-2838
(561) 891-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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