Provider Demographics
NPI:1417594961
Name:WESTON-ANDREWS, CASSAUNDRA P
Entity Type:Individual
Prefix:
First Name:CASSAUNDRA
Middle Name:P
Last Name:WESTON-ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2232
Mailing Address - Country:US
Mailing Address - Phone:504-331-3531
Mailing Address - Fax:985-618-3381
Practice Address - Street 1:617 MONTICELLO DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2232
Practice Address - Country:US
Practice Address - Phone:504-331-3531
Practice Address - Fax:985-618-3381
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker