Individual
CASSANDRA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60239928
WA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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