Individual
CASSANDRA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 CANDLEWOOD ST STE 22C, LAKEWOOD, CA 90712-1929
(424) 242-3087
Mailing address
2005 PALO VERDE AVE STE 251, LONG BEACH, CA 90815-3322
(562) 270-4833
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-QWOPIK
CA
Other
Enumeration date
01/18/2024
Last updated
04/19/2024
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