Individual
KASSANDRA FAYE HOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CVI
Contact information
Practice address
5518 SUNFLOWER LN S, FARGO, ND 58104-3962
(701) 429-7593
Mailing address
3433 15TH ST S, MOORHEAD, MN 56560-6928
(701) 429-7593
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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