Individual
CASSANDRA MOUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 E LINCOLN ST, EAST TAWAS, MI 48730-9324
(989) 254-4720
Mailing address
1216 E LINCOLN ST, EAST TAWAS, MI 48730-9324
(989) 254-4720
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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