Individual
MS. AVIS CASSANDRA MCCALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001105924
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164487
VA
Other
Enumeration date
08/09/2006
Last updated
02/25/2013
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