Individual
CASSAUNDRA LYNETTE NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 WILLIAMS AVE, PANAMA CITY, FL 32401-4225
(850) 319-5693
(850) 785-5928
Mailing address
703 WILLIAMS AVE, PANAMA CITY, FL 32401-4225
(850) 319-5693
(850) 785-5928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683319501
—
FL
05
—
683319596
—
FL
Enumeration date
01/03/2011
Last updated
01/03/2011
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