Individual
MS. CASSAUNDRA WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12840 DUSTY WILLOW RD, MANASSAS, VA 20112-5548
(845) 750-7008
Mailing address
12840 DUSTY WILLOW RD, MANASSAS, VA 20112-5548
(845) 750-7008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001264088
VA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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