Individual
CASSIE PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2188
Mailing address
3544 TOMAHAWK LN, SAN DIEGO, CA 92117-5843
(518) 269-6477
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
05-055740
CT
Other
Enumeration date
07/15/2014
Last updated
12/17/2021
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