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Cassidy Carrasco
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1871285254

Cassidy Carrasco is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Cassidy Carrasco practices in Peoria, IL. The NPI Number for Cassidy Carrasco is 1871285254 and holds a License No. (Illinois).

The current practice location address for Cassidy Carrasco is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 806-584-8146.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871285254
Provider Name
Cassidy Carrasco
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
806-584-8146
Fax Number
Provider Enumeration Date
05/23/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-2004
Phone Number
806-584-8146
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-2004
Phone Number
806-584-8146
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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