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Individual

CHRISTINA DIANE MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 PINE FOREST DR STE 603, SHENANDOAH, TX 77384-5304
(936) 281-3366
(936) 281-3383
Mailing address
150 PINE FOREST DR STE 603, SHENANDOAH, TX 77384-5304
(936) 271-3366
(936) 281-3383

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80455
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356615983
INDIVIDUAL
TX
Enumeration date
02/29/2012
Last updated
06/11/2019
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