Individual
CASSIE ANNEALYCE MATHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 MOILANEN RD, LONGVIEW, WA 98632-9614
(360) 270-2751
Mailing address
439 MOILANEN RD, LONGVIEW, WA 98632-9614
(360) 270-2751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60363254
WA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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