Individual
JOLYNNE MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
209 HIGHWAY 180 W, SILVER CITY, NM 88061-5102
(575) 956-6390
Mailing address
525 E MOUNTAIN VIEW DR, SILVER CITY, NM 88061-3423
(575) 519-8692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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