Cassie Lee Porebski
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1164092722
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1164092722
- Entity type
- Individual (NPI-1)
- Name
- Cassie Lee Porebski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Cassie Lee McNaney (Former Name)
Practice location
1111 W 17th StTulsa, OK 74107-1886
Phone 918-582-1972
Mailing address
1111 W 17th StTulsa, OK 74107-1886
Phone 918-582-1972
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