MEDICARE: MRS. CASSANDRA MARIE NAFZIGER

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1386086247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASSANDRA MARIE NAFZIGER

Provider Business Mailing Address
First Line	:	59058 JUAREZ DR
Second Line	:
City	:	YUCCA VALLEY
State	:	CA
Zip	:	92284-6511
Country	:	US
Telephone Number	:	760-660-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 E TAHQUITZ CANYON WAY
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-6763
Country	:	US
Telephone Number	:	760-325-4088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2013
Last Update Date	:	07/20/2013

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