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Individual

CASSANDRA WHITTINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3270 KERNER BLVD STE A, SAN RAFAEL, CA 94901-4840
(415) 456-9350
Mailing address
155 WAILEA IKE PL APT 14, KIHEI, HI 96753-9565

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
225XG0600X
Gerontology Occupational Therapist
Primary
13500
CA

Other

Enumeration date
11/05/2012
Last updated
10/01/2019
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