Individual
CASSANDRE ANN BUCKALEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.M.T., C.M.M.P.
Contact information
Practice address
640 SANDY DR, HENDERSON, NV 89002-9223
(702) 769-0655
(702) 566-0473
Mailing address
640 SANDY DRIVE, HENDERSON, NV 89002-9223
(702) 769-0655
(702) 566-0473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NV4153
NV
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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