Gervin, Kasandra Renea

Gervin, Kasandra Renea is an individual health care provider with primary practice located at 1914 Old Dominion Dr , Albany GA 31721-2806. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gervin, Kasandra Renea can be contacted via phone (229) 349-5516.

Contact Information

Primary practice address
1914 Old Dominion Dr Albany GA 31721-2806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1285219683
LBN Legal business name Gervin, Kasandra Renea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2021
Last updated Mar 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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