Individual
JEANNE R. CASADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(442) 327-9311
Mailing address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(442) 327-9311
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
C4BF-03-04-E24-012
CA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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