Cassandra Mousseau

NPI #1891140380 in East Tawas, Michigan

Provider Information

NPI Number: 1891140380
Entity Type: Individual
Name: Cassandra Mousseau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 3, 2016
Last Updated: May 3, 2016

Practice Location

Address: 1216 E LINCOLN ST
City: East Tawas
State: Michigan
ZIP Code: 48730-9324
Phone: (989) 254-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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