Individual
CASSANDRA PAIGE COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
675 WILSON CREEK RD, NEWARK VALLEY, NY 13811-2639
(607) 972-4367
Mailing address
675 WILSON CREEK RD, NEWARK VALLEY, NY 13811-2639
(607) 972-4367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319165-1
NY
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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