Individual
MARK WAYNE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1552 MCGOWAN PKWY, OLIVEHURST, CA 95961-9320
(530) 301-2525
Mailing address
1552 MCGOWAN PKWY, OLIVEHURST, CA 95961-9320
(530) 301-2525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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