Individual
CAMILLA MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W ORANGE ST, DUNCANVILLE, TX 75116-3421
(214) 949-2827
Mailing address
307 W ORANGE ST, DUNCANVILLE, TX 75116-3421
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345626
TX
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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