Individual
TAMMY MICHELLE CASSISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
49 ROCKINGHAM AVE, MALDEN, MA 02148-1861
(978) 401-7776
Mailing address
49 ROCKINGHAM AVE, MALDEN, MA 02148-1861
(978) 401-7776
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN2270471
MA
Other
Enumeration date
12/16/2014
Last updated
10/19/2015
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