Individual
MR. LYNN FRED MASSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 574-5822
Mailing address
732 SUMMITVIEW AVE, PMB 684, YAKIMA, WA 98902-3032
(509) 574-5822
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
AP30003123
WA
Other
Enumeration date
04/04/2006
Last updated
07/19/2007
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