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NPI Code Detail

MEDICARE: CASSANDRA CHRISTINE COTTEN

MEDICARE: CASSANDRA CHRISTINE COTTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1124620463
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA CHRISTINE COTTEN
Provider Business Mailing Address
First Line : 2125 LAS VEGAS BLVD N APT 2061
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-5894
Country : US
Telephone Number : 702-561-2465
Fax Number :
Provider Business Practice Location Address
First Line : 4956 DRIFTING PEBBLE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3057
Country : US
Telephone Number : 702-445-0669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ CASSANDRA CHRISTINE COTTEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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