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 |