Individual
CASSANDRA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147
Mailing address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274926
GA
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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