Individual
CASSANDRA ELIZABETH KOVALKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 MAIN ST STE A, FREMONT, CA 94538-4390
(510) 270-1200
Mailing address
3607 MAIN ST STE A, FREMONT, CA 94538-4390
(510) 270-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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