Cassandra Evans
Private Vehicle in Dayton, OH. Organization (NPI-2).
NPI number1003369166
StatusActive
Last updated in NPPESJul 25, 2016
Details
- NPI
- 1003369166
- Entity type
- Organization (NPI-2)
- Legal business name
- Cassandra Evans
- Organization subpart
- No
- Enumeration date
- Jul 25, 2016
- Last updated
- Jul 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | RN225117 | OH | Yes |
Practice location
430 Edgewood AveDayton, OH 45402-6324
Phone 937-443-7516
Mailing address
430 Edgewood AveDayton, OH 45402-6324
Phone 937-443-7516
Authorized official
Cassandra Evans
Lpn
9374437516
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