NPI 1770081804

Cassandra Ford

Practitioner Prevention Professional Kihei, HI

Practice location

Address: 3121 Akala Dr, Kihei, HI 96753-9406
Phone: (570) 239-5905

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 00000000 (HI)

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Registry record

NPI: 1770081804
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2018
Record last updated: 23 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.