Individual
MS. CASSANDRA ADELE SILLIVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2611 WILLIAMSON RD, GRANBURY, TX 76048-7560
(817) 243-8013
Mailing address
2611 WILLIAMSON RD, GRANBURY, TX 76048-7560
(817) 243-8013
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
350540
TX
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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