Provider Demographics
NPI:1942570452
Name:KACHULIS, CASSANDRA JOAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:JOAN
Last Name:KACHULIS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1368 COLUSA HWY
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9001
Mailing Address - Country:US
Mailing Address - Phone:530-673-8853
Mailing Address - Fax:530-673-0717
Practice Address - Street 1:1368 COLUSA HWY
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9001
Practice Address - Country:US
Practice Address - Phone:530-673-8853
Practice Address - Fax:530-673-0717
Is Sole Proprietor?:No
Enumeration Date:2012-01-01
Last Update Date:2012-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12242174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian