Individual
KASSANDRA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1249 COCOA AVE STE 201, HERSHEY, PA 17033-3700
(717) 531-0003
Mailing address
1249 COCOA AVE STE 201, HERSHEY, PA 17033-3700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274406
PA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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