Individual
MARZIEH MOHTASHAMI CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255A S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5973
(505) 867-2356
(505) 867-2357
Mailing address
255A S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5973
(505) 867-2356
(505) 867-2357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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