Individual
CASANDRE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
949 SABAL GROVE DR, ROCKLEDGE, FL 32955-4159
(321) 917-7019
Mailing address
949 SABAL GROVE DR, ROCKLEDGE, FL 32955-4159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5159520
FL
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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