KASSANDRA MICHELLE MACK

CHEEKTOWAGA, NY
NPI1134483498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  303962)
Enumeration Date2012-07-01
Last Update Date2012-07-01
Business Address
-- KASSANDRA MICHELLE MACK LPN
11 WINDWOOD CTS
CHEEKTOWAGA, NY 14225-2573
Phone number: 716-986-1006
Mailing Address
-- KASSANDRA MICHELLE MACK LPN
11 WINDWOOD CTS
CHEEKTOWAGA, NY 14225-2573
Phone number: 716-986-1006
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