Individual
MS. CARIS CASSADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-3361
Mailing address
3302 RENNER DR, FORTUNA, CA 95540-7103
(707) 725-3318
(707) 725-1998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55162
CA
Other
Enumeration date
11/23/2017
Last updated
12/03/2021
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