Individual
CASANDRA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 BONESET TRL APT A, NORTH CHILI, NY 14514-9625
(585) 957-0674
Mailing address
12 BONESET TRL APT A, NORTH CHILI, NY 14514-9625
(585) 957-0674
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328168
NY
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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