Individual
MRS. CASSANDRA DAWN AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4523
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011613
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2022
Last updated
08/15/2023
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