Individual
JULIE MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 S MAIN ST, OTTAWA, KS 66067-3528
(785) 242-4242
(785) 242-7885
Mailing address
1401 S MAIN ST, OTTAWA, KS 66067-3528
(785) 242-4242
(785) 242-7885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-92866-081
KS
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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