Individual
CASSANDRA E CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 514-1958
Mailing address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 514-1958
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
741109
CA
Other
Enumeration date
07/26/2019
Last updated
06/16/2025
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