Individual
KASSIE VANHOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 666-0004
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001269988
VA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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