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Cassandra Bagnall
Specialist in San Diego, California
NPI 1093495442

Cassandra Bagnall is a Specialist based in San Diego, CA. Cassandra Bagnall practices in San Diego, CA. The NPI Number for Cassandra Bagnall is 1093495442 and holds a License No. L9507 (California).

The current practice location address for Cassandra Bagnall is 3737 Moraga Ave Ste A204, San Diego, CA and can be reached out via phone at 858-352-6438 and via fax at 760-818-8025.

Location: 3737 Moraga Ave Ste A204, San Diego, CA, 92116-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093495442
Provider Name
Cassandra Bagnall
Credential
Provider Entity Type
Individual
Gender
Female
Address
3737 Moraga Ave Ste A204, San Diego, CA, 92116-5115
Phone Number
858-352-6438
Fax Number
760-818-8025
Provider Enumeration Date
07/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3737 Moraga Ave Ste A204
City
San Diego
State
California
Zip
92117-5489
Phone Number
858-352-6438
Fax Number
760-818-8025
person
Provider Business Mailing Address Details
Address
3737 Moraga Ave Ste A204
City
San Diego
State
California
Zip
92117-5489
Phone Number
858-352-6438
Fax Number
760-818-8025
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L9507 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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