Individual
MRS. CASSANDRA LYNNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
6310 TOWNSHIP ROAD 199, CENTERBURG, OH 43011-9589
(419) 560-1997
Mailing address
6310 TOWNSHIP ROAD 199, CENTERBURG, OH 43011-9589
(419) 560-1997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.144275-M-IV
OH
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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