Individual
CASSANDRA VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 N DIVISION ST, CARTERVILLE, IL 62918-1245
(618) 985-3929
(618) 985-9276
Mailing address
108 N DIVISION ST, CARTERVILLE, IL 62918-1245
(618) 985-3929
(618) 985-9276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019546
IL
Other
Enumeration date
06/24/2019
Last updated
09/19/2019
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