Individual
CASSANDRA MODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7635 ANTEBELLUM DR, FORT WAYNE, IN 46815-6580
(260) 431-1231
Mailing address
7635 ANTEBELLUM DR, FORT WAYNE, IN 46815-6580
(260) 431-1231
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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