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Brianne Kathleen Cassidy

Physician Assistant, Medical in San Leandro, CA. Individual provider (NPI-1).

NPI number1982171377
StatusActive
Last updated in NPPESOct 24, 2018

Details

NPI
1982171377
Entity type
Individual (NPI-1)
Name
Brianne Kathleen Cassidy
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2018
Last updated
Oct 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical55848CAYes

Practice location

13690 E 14th St Ste 230
San Leandro, CA 94578-2584

Phone 510-614-9200

Mailing address

13851 E 14th St Ste 203
San Leandro, CA 94578-2627

Phone 510-614-9200

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