Individual
SHARI KASSEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 N FORK RD, FERNLEY, NV 89408-8011
(559) 903-3225
Mailing address
2965 N FORK RD, FERNLEY, NV 89408-8011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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