Individual
CASSANDRA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E BROADVIEW AVE, WASILLA, AK 99654-8302
(907) 313-1333
Mailing address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(907) 313-1333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6935997
AK
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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