Individual
KASSANDRA NICOLE DEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5117 CENTRE AVE FL 2, PITTSBURGH, PA 15213-1862
(412) 647-7614
Mailing address
123 SUNNYVIEW DR, AMBRIDGE, PA 15003-1108
(724) 584-2574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064333
PA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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