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Casandra Black
NPI 1942845748 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11514 Homestead Dr
Upper Marlboro, MD 20774 - Phone
- (240) 481-8616
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland