Individual
CASSEY R WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W 5TH ST, JOPLIN, MO 64801-2598
(417) 782-2917
(417) 782-7038
Mailing address
214 W 5TH ST, JOPLIN, MO 64801-2598
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
121557 B
MO
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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