Most Relevant Information
Provider Data
| NPI Number: | 1003425877 |
| Provider Name: | KASSANDRA VARCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2020 |
| Last Updated: | 06/29/2021 |
Provider Practice Location
127 THISTLEDOWN LN
MORGANTOWN
WV
265082424
Practice Location Phone/Fax
| Phone: | 3042919066 |
| Fax: |
Provider Mailing Location
127 THISTLEDOWN LN
MORGANTOWN
WV
265082424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |