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Individual
KASSANDRA MASSEY
Active
Individual
KASSANDRA MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006309
NC
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
L006309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133V00000X
—
NC
Enumeration date
12/09/2020
Last updated
09/13/2022
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