Individual
MRS. CASSANDRA DAWN LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 SODOM RD, STAATSBURG, NY 12580-6357
(845) 233-4818
Mailing address
100 SODOM RD, STAATSBURG, NY 12580-6357
(845) 233-4818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257128-1
NY
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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