Individual
CASSANDRA ISABELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6781 GROVELAND HILL RD, GROVELAND, NY 14462-9512
(158) 543-5663
Mailing address
6781 GROVELAND HILL RD, GROVELAND, NY 14462-9512
(158) 543-5663
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
890930
NY
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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