Individual
MRS. CASSANDRA GAYE CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
2185 E CENTURY BLVD APT 105, LOS ANGELES, CA 90002-4019
(318) 482-4521
Mailing address
2185 E CENTURY BLVD APT 105, LOS ANGELES, CA 90002-4019
(318) 485-4521
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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