Individual
MRS. CASSANDRA RACHEAL VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
Mailing address
820 VIRGINIA AVE, ELIZABETHTON, TN 37643-4743
(423) 202-8109
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
187843
TN
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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