Individual
JACQUELINE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21607 185TH STREET CT E, ORTING, WA 98360-9701
(360) 829-7837
Mailing address
PO BOX 1721, ORTING, WA 98360-1721
(360) 829-7837
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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