Individual
CASSANDRA LYNN CONVERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 FALMOUTH AVE, ELMWOOD PARK, NJ 07407-2312
(201) 414-2851
Mailing address
175 FALMOUTH AVE, ELMWOOD PARK, NJ 07407-2312
(201) 414-2851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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