Individual
CASSANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4725 1ST ST, PLEASANTON, CA 94566-7366
(925) 417-5726
Mailing address
27212 CALAROGA AVE, HAYWARD, HAYWARD, CA 94545-4339
(510) 785-5000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
79143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79143
CA LICENSE
CA
Enumeration date
04/25/2012
Last updated
04/25/2012
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