JACKSIS CASSAGNOL

HYDEN, KY
NPI1376021691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: MA  CNM04524)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
JACKSIS CASSAGNOL CNM
195 SCHOOL ST
HYDEN, KY 41749-4601
Phone number: 606-672-2312
Mailing Address
JACKSIS CASSAGNOL CNM
PO BOX 528
HYDEN, KY 41749-0528
Phone number: 606-672-2312
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