Individual
CASSANDRA BRACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3854 RIDGE RD, #B, CORTLAND, OH 44410-8753
(330) 831-1810
Mailing address
3854 RIDGE RD, #B, CORTLAND, OH 44410-8753
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
378445280300
OH
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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