Cassandra Johnson White, LMT
Contractor in Nacogdoches, TX. Individual provider (NPI-1).
NPI number1508097486
StatusActive
Last updated in NPPESJul 27, 2009
Details
- NPI
- 1508097486
- Entity type
- Individual (NPI-1)
- Name
- Ms. Cassandra Johnson White
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2009
- Last updated
- Jul 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | MT032466 | TX | Yes |
Practice location
7014 North StNacogdoches, TX 75965-1144
Phone 936-553-4664 · Fax 936-462-7435
Mailing address
Po Box 633972Nacogdoches, TX 75963-3972
Phone 936-553-4664
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