Individual
CASSAUNDRA MARIE STOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
4550 MCLANE PIKE, RED HOUSE, WV 25168-7205
(304) 586-3815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36307
WV
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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