CASSANDRA THEOBALD

SHELDON, IA
NPI1467063958
Former NameCASSANDRA STANEK
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A160226)
Enumeration Date2020-08-10
Last Update Date2021-12-06
Business Address
CASSANDRA THEOBALD NP-C
800 OAK ST
SHELDON, IA 51201-1242
Phone number: 712-324-5356
Mailing Address
CASSANDRA THEOBALD NP-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: