Provider Demographics
NPI:1821680059
Name:CASS, JO'ANN (CERTIFICATE)
Entity Type:Individual
Prefix:
First Name:JO'ANN
Middle Name:
Last Name:CASS
Suffix:
Gender:F
Credentials:CERTIFICATE
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Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 E FLAMINGO RD STE 311
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5067
Mailing Address - Country:US
Mailing Address - Phone:702-656-7668
Mailing Address - Fax:702-920-8493
Practice Address - Street 1:3430 E FLAMINGO RD STE 311
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5067
Practice Address - Country:US
Practice Address - Phone:702-656-7668
Practice Address - Fax:702-920-8493
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-10-27
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