Individual
DEMETRIA MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1757 INDIAN WOOD CIR, MAUMEE, OH 43537-4009
(833) 641-0632
Mailing address
1326 N HURON ST APT 1, TOLEDO, OH 43604-2064
(313) 334-2061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
172565
OH
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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