Individual
CASSANDRA LYNN TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 CANANDAIGUA ST, PALMYRA, NY 14522-1326
(315) 597-6609
(315) 597-3898
Mailing address
120 CANANDAIGUA ST, PALMYRA, NY 14522-1326
(315) 597-6609
(315) 597-3898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
733896
NY
Other
Enumeration date
12/08/2020
Last updated
01/21/2021
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