Individual
CARISSA ROSE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 W KINGS HWY, SIOUX CITY, IA 51104-1038
(507) 220-0080
Mailing address
1510 JUNEAU PL SE APT 108, ORANGE CITY, IA 51041-1882
(507) 220-0080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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