| NPI | 1144021676 |
|---|---|
| Doing Business As | CASSANDRIA CLAUDINE STEPHENSON |
| Doing Business As | NP |
| Entity Type | Organization |
| Authorized Contact | CASSANDRIA CLAUDINE STEPHENSON Owner 754-246-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-05-13 |