CANDACE JENELL CROSS LASSITER

HAMPTON, VA
NPI1265771943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602453)
Enumeration Date2013-01-31
Last Update Date2013-01-31
Business Address
Mrs. CANDACE JENELL CROSS LASSITER
4 MOUNTAIN ASHE PL
HAMPTON, VA 23666-2175
Phone number: 757-825-1660
Mailing Address
Mrs. CANDACE JENELL CROSS LASSITER
4 MOUNTAIN ASHE PL
HAMPTON, VA 23666-2175
Phone number: 757-825-1660
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