Individual
CASSANDRA JOLENE CLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7500
Mailing address
5459 PEONY RD, COULTERVILLE, IL 62237-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008848
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2021
Last updated
04/17/2023
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