Individual
CASSANDRA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BELMONT ST, WORCESTER, MA 01604
(508) 791-3261
Mailing address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 791-3261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/08/2018
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