Individual
CASSANDRA PRETTY MOON RENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-9802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70180
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2018
Last updated
03/03/2022
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