Individual
MS. CASSANDRA JOHNSON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7014 NORTH ST, NACOGDOCHES, TX 75965-1144
(936) 553-4664
(936) 462-7435
Mailing address
PO BOX 633972, NACOGDOCHES, TX 75963-3972
(936) 553-4664
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT032466
TX
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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