Individual
CASSANDRA ELIZABETH KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3626 POPLAR RIDGE DR, GLOUCESTER, VA 23061-3267
(609) 433-2558
Mailing address
3626 POPLAR RIDGE DR, GLOUCESTER, VA 23061-3267
(609) 433-2558
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24769
FL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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