Individual
PATRICK SALLAY MASSAQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
124 SLEEPY HOLLOW DR, MIDDLETOWN, DE 19709-5838
(302) 623-0188
(302) 322-6251
Mailing address
124 SLEEPY HOLLOW DR, MIDDLETOWN, DE 19709-5838
(302) 652-2455
(302) 322-6251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0000692
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000692
DE
Other
Enumeration date
09/27/2013
Last updated
09/11/2024
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