Cassandra Vestal
NPI #1790346419 in Carterville, Illinois
Provider Information
- NPI Number
- 1790346419
- Entity Type
- Individual
- Name
- Cassandra Vestal
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 24, 2019
- Last Updated
- Sep 19, 2019
Practice Location
- Address
- 108 N DIVISION ST
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1245
- Phone
- (618) 985-3929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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