Cassidy Renee Coffey
Technician, Attendant Care Provider in Killeen, TX. Individual provider (NPI-1).
NPI number1659929743
StatusActive
Last updated in NPPESAug 31, 2019
Details
- NPI
- 1659929743
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Renee Coffey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2019
- Last updated
- Aug 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
910 Estelle AveKilleen, TX 76541-7382
Phone 254-466-0541
Mailing address
910 Estelle AveKilleen, TX 76541-7382
Phone 254-466-0541
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