Cassandra Lynn Converse

NPI #1003283771 in Elmwood Park, New Jersey

Provider Information

NPI Number: 1003283771
Entity Type: Individual
Name: Cassandra Lynn Converse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 28, 2015
Last Updated: Aug 28, 2015

Practice Location

Address: 175 FALMOUTH AVE
City: Elmwood Park
State: New Jersey
ZIP Code: 07407-2312
Phone: (201) 414-2851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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