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Individual
CAROL MASSEY
Active
Individual
CAROL MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, MSN. PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
788279
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
788279
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017619
CA
Other
Enumeration date
09/14/2017
Last updated
05/26/2024
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