Individual
JOHN F MASSARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 681-8701
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(631) 624-7835
(928) 681-8701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R4139
AZ
Other
Enumeration date
05/18/2023
Last updated
05/25/2023
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