Individual
CASSANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7907 POTOMAC AVE, INDIANAPOLIS, IN 46226-6323
(317) 737-9881
Mailing address
7907 POTOMAC AVE, INDIANAPOLIS, IN 46226-6323
(317) 737-9881
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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