Individual
CASSANDRA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 580-4691
Mailing address
276 PROSPECT ST, BROCKTON, MA 02301-3377
(774) 381-2666
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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