Jah, Cassaundra Renea

Jah, Cassaundra Renea is an sole proprietor health care provider with primary practice located at 176 Pinon Trl , Cedar Crest NM 87008-9457. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Providers / Lactation Consultant, Nursing Service Related Providers / Doula. Other Service Providers / Midwife is her primary health care specialty. Jah, Cassaundra Renea can be contacted via phone (505) 407-4378.

Contact Information

Primary practice address
176 Pinon Trl Cedar Crest NM 87008-9457
Phone: (505) 407-4378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 10076R New Mexico
Nursing Service Providers / Lactation Consultant 163WL0100X 11065708 New Mexico
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1982914487
LBN Legal business name Jah, Cassaundra Renea
Credentials CPM, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Jun 3rd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982914487 NPPES
New Mexico MEDICAID 31781349

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