Individual
MISS CASANDRA NICOLE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 ARTESIA BLVD, BELLFLOWER, CA 90706-6713
(562) 484-3385
Mailing address
3545 MEADOWVIEW DR, RIVERSIDE, CA 92503-4722
(404) 547-3952
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
09/19/2012
Last updated
10/17/2013
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