Individual
MRS. CASSANDRA LAKISHA STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10065 E HARVARD AVE, DENVER, CO 80231-5968
(303) 614-1400
Mailing address
5024 PERTH CT, DENVER, CO 80249-8227
(303) 907-6678
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43400
CO
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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