Most Relevant Information
Provider Data
| NPI Number: | 1003425596 |
| Provider Name: | CASSANDRA COLLINS MS |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2020 |
| Last Updated: | 07/30/2020 |
Provider Practice Location
2411 VIA MARIPOSA
SAN DIMAS
CA
917734421
Practice Location Phone/Fax
| Phone: | 4108520732 |
| Fax: |
Provider Mailing Location
2411 VIA MARIPOSA
SAN DIMAS
CA
917734421
Provider Mailing Phone/Fax
| Phone: | 4108520732 |
| Fax: |