Individual
JOSHUA MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
Mailing address
PO BOX 1134, LOMA LINDA, CA 92354-1134
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
740658
CA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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