Individual
MS. VIVIAN JEANETTE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
630 KELLY ST, DESTIN, FL 32541-1750
(850) 833-4363
(850) 833-4370
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN9225540
FL
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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