Individual
CASSANDRA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 HIGHWAY 80 W UNIT 218D, JACKSON, MS 39204-3914
(601) 321-9502
(601) 321-9503
Mailing address
931 HIGHWAY 80 W UNIT 218D, JACKSON, MS 39204-3914
(601) 321-9502
(601) 321-9503
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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