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Individual

CAROL MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN, MSN. PMHNP

Contact information

Practice address
5860 UPLANDER WAY, LOS ANGELES, CA 90230-6608
(310) 966-6500
Mailing address
25925 NARBONNE AVE UNIT 24, LOMITA, CA 90717-3021
(310) 938-5840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
788279
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
788279
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017619
CA

Other

Enumeration date
09/14/2017
Last updated
05/26/2024
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