Individual
CASSANDRA M TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.368951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21414263
—
OH
Enumeration date
10/18/2012
Last updated
10/18/2012
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