Individual
ALBERT MASSAQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DRHSC, PA-C
Contact information
Practice address
3201 WILLAMETTE DR NE STE F, LACEY, WA 98516-1376
(360) 515-1022
Mailing address
3201 WILLAMETTE DR NE STE F, LACEY, WA 98516-1376
(360) 515-1022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
363AM0700X
Medical Physician Assistant
PA60920819
WA
Other
Enumeration date
02/27/2012
Last updated
09/27/2025
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