Individual
CASSANDRA MARIE NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
208 CYPRESS COURT, #3, ITHACA, NY 14850
(607) 319-0191
Mailing address
208 CYPRESS COURT, #3, ITHACA, NY 14850
(607) 319-0191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270716-1
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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